Odell George Vining Jr., PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY003434 Issued in GA

Practice address

233 12TH St
Suite 901
Columbus, GA 31901-2462

Phone

(706) 225-0322

Fax

(706) 225-0321

NPI assigned

Apr 8, 2011

Last updated

Aug 8, 2013By 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 GA, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

University of Mississippi School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Enterprises PCGroup PAC ID 4486816048, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Pinnacle Enterprises PC

  dba Phenix City Childrens & Family Clinic

  • General Practice Physician
  • Phenix City, AL
  • NPI 1447374640

  GA

  Medicare reassignment Care Compare group NPD
• Fort Mitchell Clinic PC

  • Rural Health Clinic/Center
  • Fort Mitchell, AL
  • NPI 1568748242
  Medicare reassignment NPD
• Opelika Pediatrics & Family Clinic PC

  • Clinic/Center
  • Opelika, AL
  • NPI 1306240502
  Medicare reassignment NPD
• Columbus Psychological Assoc.

  • Professional Counselor
  • Columbus, GA
  • NPI 1376874214
  NPD (past)
• Columbus Psychological Associates, LLP

  • Psychologist
  • Columbus, GA
  • NPI 1073540589
  NPD (past)
• Family Exploration, LLC

  • Clinical Psychologist
  • Columbus, GA
  • NPI 1790186716
  NPD (past)
• Vining Consulting

  dba Odell Vining

  • Adolescent and Children Mental Health Clinic/Center
  • Columbus, GA
  • NPI 1730513508
  NPD (past)

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1609166875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 12TH ST",
            "address_2": "SUITE 901",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012462",
            "telephone_number": "706-225-0322",
            "fax_number": "706-225-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 12TH ST",
            "address_2": "SUITE 901",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012462",
            "telephone_number": "706-225-0322",
            "fax_number": "706-225-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINING",
        "first_name": "ODELL",
        "middle_name": "GEORGE",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Vincent, PHARMD.
• Kristina Larose Vincent, PSYD
• Angie Michelle Vines, NP-C
• Vining Consulting (Odell Vining)
• Mary Elizabeth Vining
• Ian Vink, MD
• Vision Eye Care (The Landings Eye Care)
• Vistacare USA, LLC (Gentiva)
• Vital Enrichment Resources
• Vitalhealth Nursing Services LLC

• Psychologist in Columbus, GA
• Providers in Columbus, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.

Verify at the official NPI Registry.