Uninibile O Odama, M.D

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

79065 Issued in GA

Practice address

210 North Street W, Suite D
Landmark Nephrology and Hypertension Clinic
Talladega, AL 35160

Phone

(256) 283-9760

NPI assigned

Jul 16, 2009

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Landmark Nephrology & Hypertension Clinic. P.C

  • Medical Specialty Clinic/Center
  • Talladega, AL
  • NPI 1265662720

  Nephrology

  NPD Authorized official

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1750511432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST",
            "address_2": "STE C105",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786107",
            "telephone_number": "678-344-0334",
            "fax_number": "678-344-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NORTH STREET W, SUITE D",
            "address_2": "LANDMARK NEPHROLOGY AND HYPERTENSION CLINIC",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "35160",
            "telephone_number": "256-283-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODAMA",
        "first_name": "UNINIBILE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "79065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gabriel Paige
• Divya J Patel, PHARM.D.
• Hemal S Patel, PHARMD

• Nephrology Physician in Talladega, AL
• Providers in Talladega, AL by specialty
• Nephrology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.