DR. CARROLL G ODEM (NPI# 1144224957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144224957 |
| Entity Type | Individual |
| Full Name | DR. CARROLL G ODEM |
| Credential | MD |
| Practice Address |
5600 Brainerd Rd Suite Fc 5 Chattanooga TN 37411-5301 |
| Mailing Address |
8309 Grinder Creek Pl Chattanooga TN 37421-2745 |
| Practice Telephone | 4234009910 |
| Practice Fax Number | 4233325195 |
| Mailing Telephone | 4234009910 |
| Mailing Fax Number | 4233325195 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2013-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD24920 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3882406 | 05 |
| Street Address |
5600 BRAINERD RD SUITE FC 5 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37411-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318117 | Melanie Leigh Wyatt | Nurse's Aide | 5600 Brainerd Rd, Chattanooga, TN 37411-5310 | 2020-08-27 |
| 1174141394 | Carleisha Chekezia Jones | Licensed Practical Nurse | 5600 Brainerd Rd, Chattanooga, TN 37411-5310 | 2020-07-14 |
| 1659781847 | S & L Healthcare Services | Clinical Nurse Specialist | 5600 Brainerd Rd, Ste Fc5, Chattanooga, TN 37411-5310 | 2014-04-28 |
| 1255750261 | Chattanooga Primary Care of Hypertension & Diabetes | Internal Medicine | 5600 Brainerd Rd, Ste Fc-5, Chattanooga, TN 37411-5310 | 2014-04-08 |
| 1629416730 | Wade In The Water Medicine LLC | Specialist | 5600 Brainerd Rd, Fc5, Chattanooga, TN 37411-5310 | 2013-06-11 |
| 1619237013 | John Fitzpatrick | Counselor | 5600 Brainerd Rd, Suite B42, Chattanooga, TN 37411-5310 | 2012-05-21 |
| 1154680783 | Priscilla Lynne Finnell | Counselor | 5600 Brainerd Rd, Suite B42, Chattanooga, TN 37411-5310 | 2012-05-16 |
| 1831403146 | Jean Eleanor Cobb | Psychologist | 5600 Brainerd Rd, Chattanooga, TN 37411-5310 | 2010-07-28 |
| 1003128893 | Kimberly Lynn Pickett | Family Medicine | 5600 Brainerd Rd, Suite H-100, Chattanooga, TN 37411-5310 | 2010-07-08 |
| 1982867040 | Tennessee Community Counseling Services, Inc. | Counselor | 5600 Brainerd Rd, Suite B-42, Chattanooga, TN 37411-5310 | 2008-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
| 1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
| 1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
| 1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
| 1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
| 1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
| Find all providers in zip 37411 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104311943 | I Am Tiara Mitchell | Specialist | 3913 Brainerd Rd, Chattanooga, TN 37411-3733 | 2018-06-25 |
| 1285048900 | Embryo Services LLC | Specialist | 7407 Ziegler Rd, Suite B, Chattanooga, TN 37421-3157 | 2014-06-20 |
| 1336560812 | James Edward Mckinney | Specialist | 13 Fairhills Dr, Chattanooga, TN 37405-4324 | 2013-12-30 |
| 1790064087 | Eunice Storey Group Home | Specialist | 2016 Milne Street, Chattanooga, TN 37406 | 2011-08-04 |
| 1467779652 | Eva J Goldyn | Specialist | 931 Spring Creek Rd, Suite 101, Chattanooga, TN 37412-3959 | 2010-04-27 |
| 1649503681 | Johnny D. Patmon | Specialist | 3002 Wheeler Ave, Chattanooga, TN 37406-3945 | 2009-09-09 |
| 1225282445 | Catherine Ann Thomas | Specialist | 6201 Lee Hwy Ste A, Chattanooga, TN 37421-0306 | 2008-11-14 |
| 1790979177 | Plaza Orthopaedics | Specialist | 2339 Mccallie Ave Ste 201, Chattanooga, TN 37404-3208 | 2007-08-29 |
| 1467651455 | Jitendra G. Gandhi | Specialist | 7425 Ziegler Rd Ste 109, Chattanooga, TN 37421-4178 | 2007-07-11 |
| 1215134275 | Allied Eye Associates, P.l.l.c. | Specialist | 7405 Shallowford Rd., Suite 420, Chattanooga, TN 37421 | 2007-07-02 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37411 |
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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.