Active NPI
Sheneka Williams Odom, FNP
- Family Nurse Practitioner
- Dublin, GA
National Provider Identifier
1639717028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN204440
- Practice address
- 110 Cedar Creek Dr
Dublin, GA 31021-4200 - Phone
- (478) 697-1741
- NPI assigned
- Dec 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Nurse Practitioner | 363LF0000X | RN204440 | GA | Primary |
Addresses
Primary practice location
110 Cedar Creek Dr
Dublin, GA 31021-4200
Mailing address
110 Cedar Creek Dr
Dublin, GA 31021-4200
Phone (478) 697-1741
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN204440 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1639717028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CEDAR CREEK DR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310214200",
"telephone_number": "478-697-1741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CEDAR CREEK DR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310214200",
"telephone_number": "478-697-1741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "SHENEKA",
"middle_name": "WILLIAMS",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN204440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.