ODELL P. STILL (NPI# 1609868058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609868058 |
| Entity Type | Individual |
| Full Name | ODELL P. STILL |
| Credential | DO |
| Practice Address |
136 W Dykes St Cochran GA 31014 |
| Mailing Address |
Po Box 1297 Hawkinsville GA 31036-7297 |
| Practice Telephone | 4789340030 |
| Practice Fax Number | 4787833730 |
| Mailing Telephone | 4787830299 |
| Mailing Fax Number | 4787833730 |
| Enumeration Date | 2005-08-20 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 37085 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000539624O | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1811 Manning Dr, Vidalia, GA 304748921 | 9125370614 | 9125370617 |
| Street Address |
136 W DYKES ST |
| City | COCHRAN |
| State | GA |
| Zip Code | 31014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306384250 | Regina Phillips Wiley | Nurse Practitioner | 136 W Dykes St, Cochran, GA 31014 | 2017-02-10 |
| 1366889693 | William Lee Wimberly | Massage Therapist | 136 W Dykes St, Cochran, GA 31014-6844 | 2013-05-28 |
| 1639428626 | Taylor Regional Hospital | Internal Medicine | 136 W Dykes St, Cochran, GA 31014-6844 | 2012-09-05 |
| 1396063368 | Nicole Smith | Nurse Practitioner | 136 W Dykes St, Cochran, GA 31014-6844 | 2010-05-14 |
| 1316152770 | Brandi Wynne | Internal Medicine | 136 W Dykes St, Cochran, GA 31014-6844 | 2007-05-11 |
| 1013069095 | Tony E Smith | Chiropractor | 136 W Dykes St, Cochran, GA 31014-0845 | 2007-01-18 |
| 1780737585 | Gwendolyn J Carr | Nurse Practitioner | 136 W Dykes St, Cochran, GA 31014-0845 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265830186 | Bryant Nursing Center | Skilled Nursing Facility | 601 Se 6th Street, Cochran, GA 31014 | 2014-12-09 |
| 1205241395 | Southland Cochran Emergency Medical Services, LLC | Emergency Medicine | 145 Peacock St., Cocharan, GA 31014 | 2014-06-26 |
| 1952551541 | Dr Dudley B Christie Jr | Optometrist | 145 Second St, Cochran, GA 31014 | 2008-09-19 |
| 1568670487 | David Herrington Stewart | Physical Therapist | 136 West Dykes Street, Cochran, GA 31014 | 2007-05-21 |
| 1649485137 | Jennifer C. Dennis | Occupational Therapy Assistant | Rt. 3 Box 2110 Country Club Rd., Cochran, GA 31014 | 2007-05-10 |
| 1013056571 | Chad Eric Smith | Speech-Language Pathologist | 1125 Ga Hwy 126, Cochran, GA 31014 | 2007-02-05 |
| 1851444103 | Covenant Chiropractic Center PC | Chiropractor | 169 W Dykes Street, Cochran, GA 31014 | 2007-01-19 |
| 1033273081 | Porter Pharmacy & Gifts, Inc. | Pharmacy | 129 N. 2nd Street, Cochran, GA 31014 | 2006-12-21 |
| 1710040951 | Nikki Dubois | Speech-Language Pathologist | 165 Race Track Dr., Cochran, GA 31014 | 2006-12-19 |
| 1033270194 | Debbie Martin | Nurse Practitioner | 152 N. 8th Street, Cochran, GA 31014 | 2006-12-13 |
| Find all providers in zip 31014 | ||||
| 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 |
|---|---|---|---|---|
| 1205884020 | George E Harrison | Family Medicine | 150 E Peacock St, Suite A, Cochran, GA 31014-7847 | 2006-05-04 |
| 1689063505 | Taylor Regional Hospital | Family Medicine | 150 E Peacock St, Ste B, Cochran, GA 31014-7847 | 2015-01-15 |
| 1033464391 | Southland Emergency Medical Services Consolidated, LLC | Family Medicine | 145 E Peacock St, Cochran, GA 31014-7846 | 2012-07-23 |
| 1891969291 | Sandra H. Gibbs, M.d. | Family Medicine | 145 E Peacock St, Suite #3, Cochran, GA 31014-7846 | 2008-04-16 |
| 1245383611 | Sandra H. Gibbs | Family Medicine | 145 E Peacock St, Suite #3, Cochran, GA 31014-7846 | 2007-01-19 |
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|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
| 1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
| 1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
| Find all providers with the same taxonomy | ||||
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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.