Cosette Odom Bell, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9221343 Issued in FL

Practice address

1523 Old Valdosta Rd
Ray City, GA 31645-7132

Phone

(877) 755-2212

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Reba Cosette Odom Former name

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cosette.bell@3163.securemail.prognocis.com
• Direct secure messaging: cosette.bell@3266.securemail.prognocis.com

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.

• Medical Wellness Center of Georgia, LLC

  • Family Medicine Physician
  • Ray City, GA
  • NPI 1972003879
  Medicare reassignment NPD
• DRS Baker & Gilmour MD PA

  • Cardiovascular Disease Physician
  • St Augustine, FL
  • NPI 1174673859
  NPD (past)
• DRS Baker & Gilmour MD PA

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1962555490
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1427262377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HARRIS TRL",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316365052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 OLD VALDOSTA RD",
            "city": "RAY CITY",
            "state": "GA",
            "postal_code": "316457132",
            "telephone_number": "877-755-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 SW Dade St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "FL",
            "postal_code": "323402363",
            "country_code": "US",
            "telephone_number": "850-973-1402",
            "fax_number": "850-973-1450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Harris Trl",
            "address_purpose": "LOCATION",
            "city": "Lake Park",
            "state": "GA",
            "postal_code": "316365052",
            "country_code": "US",
            "telephone_number": "904-465-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "COSETTE",
        "middle_name": "ODOM",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9221343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308398500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBA",
            "last_name": "ODOM",
            "middle_name": "COSETTE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nurse Practitioner in Ray City, GA
• Providers in Ray City, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.