Odell P Still (NPI# 1609868058, PAC ID# 4981508272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1609868058 |
| PAC ID by PECOS | 4981508272 |
| Professional Enrollment ID | I20050531000650 |
| Full Name | Odell P Still |
| Organization Legal Name | ADVANCED HEALTH CARE CENTER |
| Address |
391 S 1st St Jesup GA 31545-1132 |
| Phone Number | 9124278433 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3072407808 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111302 | BLECKLEY MEMORIAL HOSPITAL |
| 110135 | TAYLOR REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 391 S 1st St, Jesup, GA 31545-1132 | 9124278433 | ADVANCED HEALTH CARE CENTER |
| Organization Legal Name | ADVANCED HEALTH CARE CENTER |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin Davis | Chiropractic | Advanced Health Care Center | 391 S 1st St, Jesup, GA 31545-1132 |
| Tumanya Jones | Physician Assistant | Advanced Health Care Center | 391 S 1st St, Jesup, GA 31545-1132 |
| Wilma Cote | Nurse Practitioner | Advanced Health Care Center | 391 S 1st St, Jesup, GA 31545-1132 |
| Teresa D Cezar | Internal Medicine | Advanced Health Care Center | 391 S 1st St, Jesup, GA 31545-1132 |
| Megan Mizell | Nurse Practitioner | Advanced Health Care Center | 391 S 1st St, Jesup, GA 31545-1132 |
| Street Address |
391 S 1ST ST |
| City | JESUP |
| State | GA |
| Zip | 31545-1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin Davis | Chiropractic | Advanced Health Care Center | 391 S 1st St, Jesup, GA 31545-1132 |
| Tumanya Jones | Physician Assistant | Advanced Health Care Center | 391 S 1st St, Jesup, GA 31545-1132 |
| Wilma Cote | Nurse Practitioner | Advanced Health Care Center | 391 S 1st St, Jesup, GA 31545-1132 |
| Teresa D Cezar | Internal Medicine | Advanced Health Care Center | 391 S 1st St, Jesup, GA 31545-1132 |
| Megan Mizell | Nurse Practitioner | Advanced Health Care Center | 391 S 1st St, Jesup, GA 31545-1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Rowell | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| John M Valosen | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Kyle S Deuter | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Thomas Patrick Loumeau | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| John L Kenerly Iii | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Jay Cook | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Gavin Heath Denmark | Physician Assistant | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Monica Carrion | Physical Medicine and Rehabilitation | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Amber B Aragon | Orthopedic Surgery | Bone and Joint Institute of South Georgia, P.C. | 110 Professional Ct, Jesup, GA 31545-0044 |
| Mark D Byron | Urology | 162 Memorial Dr, Jesup, GA 31545-0101 | |
| Find all physicians in zip 31545 | |||
| City | JESUP |
| Zip Code | 31545 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | JESUP + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Odell P Still.
| 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.