John W Odom (NPI# 1508866773, PAC ID# 3375533524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1508866773 |
| PAC ID by PECOS | 3375533524 |
| Professional Enrollment ID | I20040611001119 |
| Full Name | John W Odom |
| Organization Legal Name | METRO SURGICAL PC |
| Address |
209 Mims Rd C Sylvania GA 30467-1994 |
| Phone Number | 9125645977 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2961490669 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110024 | CANDLER HOSPITAL |
| 111312 | OPTIM MEDICAL CENTER - SCREVEN |
| 110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
| Address | Phone | Organization |
|---|---|---|
| 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 | 9128264057 | METRO SURGICAL PC |
| 209 Mims Rd C, Sylvania, GA 30467-1994 | 9125645977 | METRO SURGICAL PC |
| Organization Legal Name | METRO SURGICAL PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine A Petersen | General Surgery | Metro Surgical PC | 311 Peachtree St, Jesup, GA 31545-0245 |
| Priscilla G Thomas | General Surgery | Metro Surgical PC | 209 Mims Rd C, Sylvania, GA 30467-1994 |
| Eirik R Svennevik | General Surgery | Metro Surgical PC | 60 Exchange St, Suite B 5, Richmond Hill, GA 31324-7601 |
| Anthony M Foley | General Surgery | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| Syl A Lord | Colorectal Surgery (proctology) | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| T Ellis Barnes | General Surgery | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| Ravindra K George | General Surgery | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| Jessica Salem Adams | General Surgery | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| Joey L Christmas | General Surgery | Metro Surgical PC | 311 Peachtree St, Jesup, GA 31545-0245 |
| Mark E Blankenship | General Surgery | Metro Surgical PC | 594 N Columbia Ave, Suite 100, Rincon, GA 31326-6803 |
| Street Address |
209 MIMS RD C |
| City | SYLVANIA |
| State | GA |
| Zip | 30467-1994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priscilla G Thomas | General Surgery | Metro Surgical PC | 209 Mims Rd C, Sylvania, GA 30467-1994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherma Peter | Family Medicine | Screven County Hospital LLC | 211 Mims Rd, Sylvania, GA 30467-1994 |
| Maria Mascolo | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 209 A Mims Rd, Sylvania, GA 30467-1994 |
| Burton D Goodwin | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Joshua P Smith | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Jason R Pearce | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Kendall Kent-clark | Nurse Practitioner | Screven County Hospital LLC | 211 Mims Rd, Sylvania, GA 30467-1994 |
| Karen B Anderson | Nurse Practitioner | Screven County Family Health Center LLC | 105 Rocky Ford Rd, Sylvania, GA 30467-2027 |
| Sidney James Morgan Iii | Family Medicine | Screven County Family Health Center LLC | 105 Rocky Ford Rd, Sylvania, GA 30467-2027 |
| Christy S Powell | Chiropractic | Screven Chiropractic Inc. | 104 Rocky Ford Rd, Sylvania, GA 30467-2044 |
| Lee Ann Scott | Clinical Psychologist | 108 E Ogeechee St, Sylvania, GA 30467-2401 | |
| Find all physicians in zip 30467 | |||
| City | SYLVANIA |
| Zip Code | 30467 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SYLVANIA + GENERAL SURGERY |
Please comment or provide details below to improve the information on John W Odom.
| 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.