Carroll G Odem (NPI# 1144224957, PAC ID# 0143289249) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1144224957 |
| PAC ID by PECOS | 0143289249 |
| Professional Enrollment ID | I20180906003344 |
| Full Name | Carroll G Odem |
| Organization Legal Name | KROLL CARE PC |
| Address |
290 Heritage Walk Suite 102 Woodstock GA 30188-3875 |
| Phone Number | 6782733456 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7911213244 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 | 6782733456 | KROLL CARE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% |
| Organization Legal Name | KROLL CARE PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Kroll | General Practice | Kroll Care PC | 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 |
| David Peyroux | Chiropractic | Kroll Care PC | 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 |
| Peter E Fong | Pain Management | Kroll Care PC | 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 |
| Victor Gonzalez | Clinical Psychologist | Kroll Care PC | 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 |
| Steven Allen Urban | Physical Medicine and Rehabilitation | Kroll Care PC | 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 |
| John P Lanier | Obstetrics/gynecology | Kroll Care PC | 290 Heritage Walk, Woodstock, GA 30188-3875 |
| Street Address |
290 HERITAGE WALK SUITE 102 |
| City | WOODSTOCK |
| State | GA |
| Zip | 30188-3875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Kroll | General Practice | Kroll Care PC | 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 |
| David Peyroux | Chiropractic | Kroll Care PC | 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 |
| Peter E Fong | Pain Management | Kroll Care PC | 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 |
| Victor Gonzalez | Clinical Psychologist | Kroll Care PC | 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 |
| Steven Allen Urban | Physical Medicine and Rehabilitation | Kroll Care PC | 290 Heritage Walk, Suite 102, Woodstock, GA 30188-3875 |
| John P Lanier | Obstetrics/gynecology | Kroll Care PC | 290 Heritage Walk, Woodstock, GA 30188-3875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Vaccaro | Chiropractic | 5101 Old Hwy 5, Suite 1, Woodstock, GA 30188 | |
| Jonathan D Chao | Optometry | Woodstock Optometry, P.C. | 915 Ridgewalk Pkwy, Suite 425, Woodstock, GA 30188-0119 |
| Henry Leavengood | Chiropractic | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 30188-0724 | |
| Lara Kile | Chiropractic | Leavengood Chiropractic, PC | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 30188-0724 |
| Kenya M Ragland | Nurse Practitioner | Georgia Urgent Care, - Alpharetta, LLC | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 |
| Jean M Armand | Nurse Practitioner | Georgia Urgent Care, - Alpharetta, LLC | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 |
| Kellie C Baxter | Chiropractic | 6875 Hickory Rd, Suite 110, Woodstock, GA 30188-2327 | |
| Mary M Strange | Chiropractic | 5947 Holly Springs Pkwy, Suite 308, Holly Springs, GA 30188-2449 | |
| Mark A Amos | Chiropractic | 10214 Hickory Flat Hwy, Woodstock, GA 30188-3094 | |
| Burton Stevens Jr. | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Find all physicians in zip 30188 | |||
| City | WOODSTOCK |
| Zip Code | 30188 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WOODSTOCK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Carroll G Odem.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.