Active NPI
Odell P. Still, DO
- Family Medicine Physician
- Cochran, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37085
- Practice address
- 136 W Dykes St
Cochran, GA 31014 - Phone
- (478) 934-0030
- Fax
- (478) 783-3730
- NPI assigned
- Aug 20, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37085 | GA | Primary |
Addresses
Primary practice location
136 W Dykes St
Cochran, GA 31014
Mailing address
PO Box 1297
Hawkinsville, GA 31036-7297
Phone (478) 783-0299
Other practice location 1
1811 Manning Dr
Vidalia, GA 30474-8921
Phone (912) 537-0614
Other practice location 2
1811 Manning Dr
Vidalia, GA 30474-8921
Phone (912) 537-0614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000539624O | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37085 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Radiology Associates, LLC | Current | Accepting new patients | |
| Gordonia Emergency Physicians | Past | Accepting new patients | |
| Hospital Authority of Jefferson County and the City of Louisville | Past | Accepting new patients | |
| Memorial Health Urgentone, Inc. | Family Medicine | Past | Accepting new patients |
Locations
302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
391 S 1st St
Jesup, GA 31545
Phone (912) 427-8433
116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440
400 Cedar St
Metter, GA 30439
Phone (912) 685-1726
247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255
117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725
215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1760669931
-
- Emergency Medicine Physician
- Reidsville, GA
- NPI 1497953822
-
- Psychiatric Hospital Unit
- Louisville, GA
- NPI 1417554437
-
- Emergency Medicine Physician
- Savannah, GA
- NPI 1801818844
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1609868058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1297",
"city": "HAWKINSVILLE",
"state": "GA",
"postal_code": "310367297",
"telephone_number": "478-783-0299",
"fax_number": "478-783-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 W DYKES ST",
"city": "COCHRAN",
"state": "GA",
"postal_code": "31014",
"telephone_number": "478-934-0030",
"fax_number": "478-783-3730"
}
],
"practiceLocations": [
{
"address_1": "1811 Manning Dr",
"address_purpose": "LOCATION",
"city": "Vidalia",
"state": "GA",
"postal_code": "304748921",
"country_code": "US",
"telephone_number": "912-537-0614",
"fax_number": "912-537-0617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1811 Manning Dr",
"address_purpose": "LOCATION",
"city": "Vidalia",
"state": "GA",
"postal_code": "304748921",
"country_code": "US",
"telephone_number": "912-537-0614",
"fax_number": "912-537-0617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STILL",
"first_name": "ODELL",
"middle_name": "P.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-20",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "37085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000539624O",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cochran, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.