JAMES F ODOM (NPI# 1790901957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790901957 |
| Entity Type | Individual |
| Full Name | JAMES F ODOM |
| Credential | PAC |
| Practice Address |
2041 Mesa Valley Way Suite 100 Austell GA 30106-6828 |
| Practice Telephone | 7709441100 |
| Practice Fax Number | 7709417227 |
| Mailing Telephone | 7709441100 |
| Mailing Fax Number | 7709417227 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 005030 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 898561166I | 05 | |
| GA | 898561166F | 05 | |
| GA | 898561166G | 05 | |
| GA | 898561166H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841317088 | James Huntington Odom Jr. | Dentist | 227 North Jefferson Ave, West Baton Rouge Parish, Port Allen, LA 70767 | 2007-03-23 |
| 1376691766 | James Elmer Odom | Counselor | 3021 Florence Ave, Steger, IL 60475-1146 | 2007-01-08 |
| 1770687022 | James D Odom | Nurse Practitioner | 1605 W Frank Ave, Lufkin, TX 75904 | 2006-09-08 |
| 1316281561 | James Daniel Odom | Pharmacist | 900 Assembly St, Columbia, SC 29201-3938 | 2012-11-11 |
| 1699097642 | James Carl Odom Jr. | Respiratory Therapist, Registered | 700 19th St S, Birmingham, AL 35233-1927 | 2010-02-18 |
| 1740293794 | James Graydon Odom | Audiologist | 4800 Memorial Dr, Audiology 126w, Waco, TX 76711-1329 | 2006-08-14 |
| Street Address |
2041 MESA VALLEY WAY SUITE 100 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-6828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444929 | East West Surgery Center Lp | Clinic/Center | 2041 Mesa Valley Way, Ste 125, Austell, GA 30106-6828 | 2005-08-12 |
| 1780042333 | Curtis Anthony Peoples Jr. | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2016-02-10 |
| 1487011771 | April Amaral | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2016-01-19 |
| 1174919880 | Kyle Spinrad | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2015-04-09 |
| 1750717310 | Tor K. Robinson | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2013-09-16 |
| 1821369448 | Mak Anesthesia Ewsc LLC | Anesthesiology | 2041 Mesa Valley Way, Ste 125, Austell, GA 30106-6828 | 2012-01-13 |
| 1710206214 | Mikael Starecki | Orthopaedic Surgery | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106 | 2010-05-24 |
| 1326276734 | Angela Josephine Lucier | Physical Therapist | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2009-06-24 |
| 1467688085 | Marly N. Dows-martinez | Physical Medicine & Rehabilitation | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2009-06-10 |
| 1063625051 | Jeffrey N Hairston | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538644026 | Christina Larkin | Physician Assistant | 1790 Mulkey Rd Ste 7, Austell, GA 30106-1122 | 2018-10-01 |
| 1477989176 | Courtney Stevens | Physician Assistant | 1700 Hospital South Dr Ste 502, Austell, GA 30106-8159 | 2013-09-25 |
| 1659602126 | Well Woman LLC | Physician Assistant | 769 Knox Springs Rd, Austell, GA 30168-6313 | 2010-01-23 |
| 1215265681 | Alicia Toubiana | Physician Assistant | 1700 Hospital South Dr Ste 409, Austell, GA 30106-8159 | 2009-11-24 |
| 1487749867 | Abimbola Abiodun | Physician Assistant | 1700 Hospital South Dr., Suite 204, Austell, GA 30080 | 2006-10-03 |
| 1659347045 | Melissa Ellen Jones-ashmore | Physician Assistant | 3875 Austell Rd Ste 101, Austell, GA 30106-1153 | 2006-02-24 |
| 1871598425 | Brandon D West | Physician Assistant | 1668 Mulkey Rd Ste 164, Austell, GA 30106-1242 | 2005-06-20 |
| 1174177752 | Amanda Mathews Vicznesky | Physician Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-07-31 |
| 1285296160 | Caroline Alexandra Jones | Physician Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-07-01 |
| 1467013078 | Ashley Chandler | Physician Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-06-25 |
| Find all providers in AUSTELL | ||||
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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.