Active NPI
Ronald Hunter Odom Jr.
- Certified Registered Nurse Anesthetist
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN188403
- Practice address
- 417 W 3Rd Ave
Albany, GA 31701-1943 - Phone
- (229) 312-1000
- NPI assigned
- May 9, 2011
- Last updated
- Jun 23, 2011
- Sex
- Male
- Sole proprietor
- No
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 | RN188403 | GA | Primary |
Addresses
Primary practice location
417 W 3Rd Ave
Albany, GA 31701-1943
Mailing address
500 W 3Rd Ave
Ste 101
Albany, GA 31701-1985
Phone (229) 312-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 244-6852
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN188403 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valdosta Anesthesia Associates, P.C. | Current | Accepting new patients | |
| RG Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| JC Anesthesia LLC | Current | Accepting new patients | |
| Au Anesthesiology LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital, Inc. | Past | Accepting new patients | |
| Phoebe Putney Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
3303 Glynn Ave
Brunswick, GA 31520
Phone (912) 354-4800
710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800
11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992
5669 Ptree Dunwoody Rd NE
Ste 210
Sandy Springs, GA 30342
Phone (404) 255-4333
728 E 67th St
Savannah, GA 31405
Phone (912) 352-3120
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
4120 N Valdosta Rd
Ste B
Valdosta, GA 31602
Phone (229) 244-2068
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Valdosta, GA
- NPI 1134148208
-
- Certified Registered Nurse Anesthetist
- Savannah, GA
- NPI 1831440478
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Certified Registered Nurse Anesthetist
- Rome, GA
- NPI 1235553421
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ocilla, GA
- NPI 1275754103
-
- Anesthesiology Physician
- Johns Creek, GA
- NPI 1821501206
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
dba Phoebe Family Medical Center - Pelham
- Rural Health Clinic/Center
- Pelham, GA
- NPI 1821239765
-
- Rural Health Clinic/Center
- Camilla, GA
- NPI 1821293788
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SGMC Health
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1568754646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W 3RD AVE",
"address_2": "STE 101",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011985",
"telephone_number": "229-312-5800",
"fax_number": "229-889-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W 3RD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011943",
"telephone_number": "229-312-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "RONALD",
"middle_name": "HUNTER",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-09",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN188403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.