Odell George Vining Jr., PH.D.
NPI 1609166875ActiveIndividual· Psychologist· Columbus, GA
Psychologist (PH.D.) in Columbus, Georgia, trained at University of Mississippi School of Medicine (class of 1993). Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.
Overview
| NPI | 1609166875 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 8, 2011 |
| Last updated in NPPES | Aug 8, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY003434 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (AL); Practitioner - Clinical Psychologist (GA) |
|---|
Education and affiliations
| Medical school | University of Mississippi School of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Clinical Psychologist |
Medical group
- Pinnacle Enterprises PCPhenix City, AL · 13 clinicians
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