Active NPI
Robyn E Odzark, DO
- Family Medicine Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 91836
- Practice address
- 2104 E Victory Dr
Savannah, GA 31404-5441 - Phone
- (901) 600-1222
- Fax
- (912) 600-1262
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 82964 | SC | |
| Family Medicine Physician | 207Q00000X | 5101020421 | MI | |
| Family Medicine Physician | 207Q00000X | 91836 | GA | Primary |
Addresses
Primary practice location
2104 E Victory Dr
Savannah, GA 31404-5441
Mailing address
2104 E Victory Dr
Savannah, GA 31404
Phone (901) 600-1222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 829642 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
48 E Derenne Ave
Savannah, GA 31405-6712
Phone (912) 527-3231
50 Terrace Dr
Ridgeland, SC 29936-5097
Phone (843) 547-4765
Hospital & facility affiliations
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Candler Hospital
- Beaufort County Memorial Hospital
- St Joseph'S Hospital - Savannah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101020421 | MI | MD | Family Medicine Physician |
| 82964 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Ochsner 65 Plus Savannah LLC | Current | Accepting new patients | |
| Ochsner 65 Plus HH Okatie Crossing | Current | Accepting new patients | |
| Centerwell Senior Primary Care Ga PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care Ga PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care Ga PC | Family Medicine | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients |
Locations
1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380
48 E Derenne Ave
Savannah, GA 31405
Phone (912) 527-3231
48 E Derenne Ave
Savannah, GA 31405
Phone (912) 527-3231
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746
955 Ribaut Rd
#C
Beaufort, SC 29902
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
11 Arley Way
Ste 201
Bluffton, SC 29910
Phone (843) 706-8690
1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600
50 Terrace Dr
Ridgeland, SC 29936
Phone (843) 547-4765
Interoperability endpoints
- rpearce2377252@direct.ochsner.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1508680679
-
- Internal Medicine Physician
- Ridgeland, SC
- NPI 1497455232
-
- Internal Medicine Physician
- Beaufort, SC
- NPI 1598713117
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Internal Medicine Physician
- Woodstock, GA
- NPI 1689491680
Family Medicine
-
- Internal Medicine Physician
- South Fulton, GA
- NPI 1801463468
Family Medicine
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1952978520
Family Medicine
-
- General Practice Physician
- Beaufort, SC
- NPI 1336180165
-
- Obstetrics & Gynecology Physician
- Beaufort, SC
- NPI 1235552746
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1326487703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 E VICTORY DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31404",
"telephone_number": "901-600-1222",
"fax_number": "912-600-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 E VICTORY DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314045441",
"telephone_number": "901-600-1222",
"fax_number": "912-600-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODZARK",
"first_name": "ROBYN",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2022-05-26",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "82964",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101020421",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "91836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "829642",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.
- 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.