Dr Kelly Nicole O'dell, MD - Medicare Family Practice in Oakwood, GA

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Dr Kelly Nicole O'dell, MD is a medicare enrolled "Family Medicine" physician in Oakwood, Georgia. She went to Indiana University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Longstreet Clinic, Pc and her current practice location is 4222 Fairbanks Dr, Oakwood, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 534-6053.

Dr Kelly Nicole O'dell is licensed to practice in Georgia (license number 83884) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700226131.

Contact Information

Dr Kelly Nicole O'dell, MD
4222 Fairbanks Dr,
Oakwood, GA 30566-2811
(770) 534-6053
(770) 534-6050

Map and Direction




Physician's Profile

Full NameDr Kelly Nicole O'dell
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location4222 Fairbanks Dr, Oakwood, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelly Nicole O'dell attended and graduated from Indiana University School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1700226131
  • Provider Enumeration Date: 06/29/2013
  • Last Update Date: 08/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274759451
  • Enrollment ID: I20200708003618

Medical Identifiers

Medical identifiers for Dr Kelly Nicole O'dell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700226131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125063367 (Illinois)Secondary
207Q00000XFamily Medicine 036141396 (Illinois)Secondary
207Q00000XFamily Medicine 83884 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Suncrest Home HealthGainesville, GAHome health agency
Guardian Home Care Of Northeast GeorgiaGainesville, GAHome health agency
Northeast Georgia Medical Center, IncGainesville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Longstreet Clinic, Pc2668465733147

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kelly Nicole O'dell allows following entities to bill medicare on her behalf.
Entity NameThe Longstreet Clinic, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326019977
PECOS PAC ID: 2668465733
Enrollment ID: O20040405001521

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Nicole O'dell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kelly Nicole O'dell, MD
Po Box 658,
Gainesville, GA 30503-0658

Ph: (770) 718-1122		Dr Kelly Nicole O'dell, MD
4222 Fairbanks Dr,
Oakwood, GA 30566-2811

Ph: (770) 534-6053

Reviews and Comments


Family Medicine Doctors in Oakwood, GA

Andrew Bradley Reisman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566
Phone: 770-534-6053    Fax: 770-534-6695
Sahithi S Sangapu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Mundy Mill Rd, Suite A, Oakwood, GA 30566
Phone: 770-848-9100    Fax: 770-848-9101
Marti Renee Gibbs, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4222 Fairbanks Dr, Oakwood, GA 30566
Phone: 770-534-6053    Fax: 770-534-6695
Dr. Tawanna J Strauther, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Mundy Mill Rd, Suite A, Oakwood, GA 30566
Phone: 770-848-9100    Fax: 770-848-9101
Farhad M Yazdi, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4205 Mundy Mill Pl, Suite 1, Oakwood, GA 30566
Phone: 770-287-1140    Fax: 770-534-2700
Robert O Kelly, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Mundy Mill Rd., Oakwood, GA 30566
Phone: 770-503-1481    Fax: 770-503-1520

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.