Active NPI
Sandra Odekhiran
- Certified Registered Nurse Anesthetist
- Cartersville, GA
National Provider Identifier
1285527069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA279710
- Practice address
- 960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129 - Phone
- (470) 490-1000
- NPI assigned
- May 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA279710 | GA | Primary |
Addresses
Primary practice location
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Mailing address
8946 Interline Ave Ste C
Baton Rouge, LA 70809-1913
Phone (225) 923-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9631161 | FL | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1285527069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8946 INTERLINE AVE STE C",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091913",
"telephone_number": "225-923-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 JOE FRANK HARRIS PKWY SE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202129",
"telephone_number": "470-490-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEKHIRAN",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-31",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "CRNA279710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.