Cindy Denise Oden

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN209789 Issued in GA

Practice address

5380 Peachtree Industrial Blvd Ste 150
Norcross, GA 30071-1565

Phone

(470) 962-7252

NPI assigned

Nov 14, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cindy.oden.1@21463.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8327/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/21463/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Purelee Health & Wellness Group LLC

  • Family Medicine Physician
  • Sandy Springs, GA
  • NPI 1457283558
  NPD Authorized official
• Purelee Health and Wellness Group LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1083541916
  NPD Authorized official
• Modern Internal Medicine Urgent Care and Primary Care Inc

  • Primary Care Nurse Practitioner
  • Atlanta, GA
  • NPI 1528612694
  NPD
• Vitality Ageless Center LLC

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1730657271
  NPD
• Wingard Primary Care, LLC

  • Family Medicine Physician
  • Peachtree City, GA
  • NPI 1326387820
  NPD
• Verispine Joint Centers PC

  • Interventional Pain Medicine Physician
  • Stockbridge, GA
  • NPI 1982313532
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1124597646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 PHARR RD NE UNIT 550971",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303555038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 PEACHTREE INDUSTRIAL BLVD STE 150",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711565",
            "telephone_number": "470-962-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEN",
        "first_name": "CINDY",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN209789",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of Georgia PC (Concentra Medical Centers)
• Occupational Health Centers of Georgia PC (Advanced Medical Specialist-ATL Norcross)
• Occupational Health Centers of Georgia PC (Concentra Medical Centers)
• Occupational Health Centers of Georgia, P.C. (Concentra Medical Center)
• Occupational Healthworx LLC
• Helen Odiakosa
• Aleasha Odom
• Ije Ego Ofodile, FNP
• Ogles Oxygen, LLC
• Ohana Group LLC

• Family Nurse Practitioner in Norcross, GA
• Providers in Norcross, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.