Individual provider Active NPI

Robyn E Odzark, DO

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1326487703
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
91836 Issued in GA
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

Updated by the provider on May 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
829642MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190917003480 SC Practitioner - Family Practice 6901049485 Reassigns benefits to 3 organizations
I20220520000770 GA Practitioner - Family Practice 6901049485 Reassigns benefits to 1 organization

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
Ochsner 65 Plus Savannah LLCGroup PAC ID 1557867843, 3 clinicians
Ochsner 65 Plus HH Okatie CrossingGroup PAC ID 5294181939, 6 clinicians

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 Hospital, Savannah, GA, CCN 110036
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101020421MIMDFamily Medicine Physician
82964SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Aug 1, 2019 Accepting new patients
Ochsner 65 Plus Savannah LLC CurrentSince Aug 1, 2025 Accepting new patients
Ochsner 65 Plus HH Okatie Crossing CurrentSince Dec 16, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Aug 1, 2019 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Aug 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.