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NPI 1013552371ActiveOrganization· Specialist· Conyers, GA

Specialist in Conyers, Georgia, registered in NPPES in November 2019. The authorized official on file is Jamiela Odum, Owner.

Overview

NPI1013552371
StatusActive
Entity typeOrganization
NPI issuedNov 11, 2019
Last updated in NPPESNov 11, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Conyers

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