ODELL STILL DO LLC (NPI# 1033425962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033425962 |
| Entity Type | Organization |
| Organization Name | ODELL STILL DO LLC |
| Other Organization Name | SOUTHEAST REGIONAL PRIMARY CARE CORP |
| Practice Address |
28 W Railroad Ave Alamo GA 30411-3513 |
| Mailing Address |
Po Box 407 Vidalia GA 30475-0407 |
| Practice Telephone | 9125681407 |
| Practice Fax Number | 9125681579 |
| Mailing Telephone | 9125374986 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | TONY M OSTEEN (CFO) |
| Authorized Official Telephone | 9125385314 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEAST REGIONAL PRIMARY CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southeast Regional Primary Care Corp | Doing Business As Name - Organization |
| Street Address |
28 W RAILROAD AVE |
| City | ALAMO |
| State | GA |
| Zip Code | 30411-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351795 | Laurie Frank | Physician Assistant | Wheeler Correctional Facility- Medical Department, 195 N. Broad Street, Alamo, GA 30411 | 2019-08-16 |
| 1184102725 | Careconnect Health, Inc. | Clinic/Center | 9 W Main Street, Alamo, GA 30411 | 2018-08-06 |
| 1528108545 | William Stephen Sightler | Family Medicine | 1100 N. Broad St., Alamo, GA 30411 | 2007-02-07 |
| 1376611947 | Wheeler County Health Department | Public Health or Welfare | 414 Kent Street, Alamo, GA 30411 | 2006-12-01 |
| 1801834114 | Alamo Family Clinic | Clinic/Center | 207 W Railroad St, Alamo, GA 30411 | 2006-06-02 |
| 1023589744 | Sarah Simmons Mikell | Nurse Practitioner | 139 East Main Street, Alamo, GA 30411 | 2018-12-06 |
| 1538236575 | Alamo Discount Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7 West Main Street, Alamo, GA 30411 | 2006-11-28 |
| 1437498243 | Lindsay Joann Douglas | Specialist | 890 Springhill Church Rd, Alamo, GA 30411-3720 | 2013-02-14 |
| 1891867826 | Yvonne S Neau | Family Medicine | 195 N Broad St, Alamo, GA 30411-4055 | 2006-11-14 |
| 1578080222 | Debra Lee Hall | Nurse Practitioner | 195 N Broad St, Alamo, GA 30411-4055 | 2017-08-24 |
| Find all providers in zip 30411 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952553406 | Sunshine Excellent Care Services Inc. | Family Medicine | 105 S Tower Rd, Ste #8, Alamo, TX 78516-2590 | 2008-10-15 |
| 1972764827 | Abdias Demetree Etienne | Family Medicine | 1449 W Duranta Ave Ste 3, Alamo, TX 78516-2328 | 2008-06-23 |
| 1528108545 | William Stephen Sightler | Family Medicine | 1100 N. Broad St., Alamo, GA 30411 | 2007-02-07 |
| 1891867826 | Yvonne S Neau | Family Medicine | 195 N Broad St, Alamo, GA 30411-4055 | 2006-11-14 |
| 1659384253 | Raymond Wayne Rhear | Family Medicine | 59 S. Bells St, Alamo, TN 38001 | 2006-08-14 |
| 1912920539 | John A Knowles Jr. | Family Medicine | 1505 St. Alphonsus Way, Alamo, CA 94507 | 2006-07-25 |
| 1558306563 | Marco Gutierrez Md and Associates | Family Medicine | 401 S Alamo Rd, Alamo, TX 78516 | 2006-06-17 |
| 1578507984 | Ronald Clyde Tillman | Family Medicine | 157 N Bells St, Alamo, TN 38001-1767 | 2006-06-15 |
| 1114912821 | Ratna Behara | Family Medicine | 1243 W Hwy 83, Alamo, TX 78516-2532 | 2005-09-19 |
| 1134699416 | Audrey Lee Jones Do, Pa | Family Medicine | 801 Main St, Alamo, TX 78516-2560 | 2018-11-29 |
| Find all providers in ALAMO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.