Hakyoung Elizabeth Odom

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN274980 Issued in GA

Practice address

5356 Reynolds St
Savannah, GA 31405-6016

Phone

(912) 819-8141

Fax

(912) 819-6161

NPI assigned

Feb 4, 2022

Last updated

Feb 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1780338269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056016",
            "telephone_number": "912-819-8141",
            "fax_number": "912-819-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056016",
            "telephone_number": "912-819-8141",
            "fax_number": "912-819-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "HAKYOUNG",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "GA",
            "license": "RN274980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of Georgia PC (Concentra Medical Center)
• Ochsner 65 Plus Savannah LLC (Ochsner 65 Plus- Savannah)
• Judy R Ochsner, NP
• Matthew Ochsner, M.D.
• Mims Gage Ochsner III, M.D.
• Lawrence Dudley Odom, MD
• Lawrence Neil Odom, M.D.
• Sandy Duverger Odom, FNP
• Odyssey Healthcare of Savannah, LLC (Gentiva)
• Robyn E Odzark, DO

• Diabetes Educator Registered Nurse in Savannah, GA
• Providers in Savannah, GA by specialty
• Diabetes Educator Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.