Michael Chad Odle, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000106893 Issued in TN

Practice address

1229 S. First Street
Union City, TN 38261

Phone

(731) 885-8282

Fax

(731) 885-1998

NPI assigned

Oct 5, 2005

Last updated

Nov 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union City Urgent Care LLCGroup PAC ID 3678517836, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: modle13774@direct.bmhcc.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Union City Urgent Care LLC

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1275698797

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

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

• Union City Urgent Care LLC

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1275698797
  Medicare reassignment Care Compare group NPD
• Union City Urgent Care

  • Physician Assistant
  • Union City, TN
  • NPI 1811306525
  NPD Authorized official
• Carl W. Huff, MD, PC

  dba Bone and Joint Clinic of Dyersburg/Covington

  • Orthopaedic Surgery Physician
  • Dyersburg, TN
  • NPI 1962413674
  NPD (past)
• Noma, PC

  dba Sports, Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • Jackson, TN
  • NPI 1831550854
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital- Union City Inc

  • General Acute Care Hospital
  • Union City, TN
  • NPI 1114981768
  Care Compare affiliation

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1295722114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382810307",
            "telephone_number": "731-885-8282",
            "fax_number": "731-885-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S. FIRST STREET",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "38261",
            "telephone_number": "731-885-8282",
            "fax_number": "731-885-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLE",
        "first_name": "MICHAEL",
        "middle_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000106893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Tennessee Foot Clinic, PLLC
• Northwest TN Surgery Center, LLC (Union City Surgery Center)
• Kofi W Nuako, M.D.
• Nwtsc,LLC (Union City Surgery Center)
• Obion County Schools
• Miles Christian Odle, PA-C
• Adrienne N Offutt
• Ok Smith Jr MD PLLC
• Scott Neill Osborne, M.D.
• Leighanne Petrencsik Paige, SLP

• Family Nurse Practitioner in Union City, TN
• Providers in Union City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.