| Madison Dawn Odom, PA-C | |
|
2985 Mack Dobbs Rd Nw, Kennesaw, GA 30152-2641 | |
| (770) 268-4011 | |
| (470) 251-6052 |
| Full Name | Madison Dawn Odom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2985 Mack Dobbs Rd Nw, Kennesaw, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851949416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10775 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Houston Hospital Warner Robins | Warner robins, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aylo Health, Llc | 8022901925 | 112 |
| Physiotherapy Associates Inc | 3577470442 | 1432 |
| Entity Name | Aylo Health, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013018811 PECOS PAC ID: 8022901925 Enrollment ID: O20040204000918 |
| Entity Name | Privia Medical Group of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Dawn Odom, PA-C Po Box 746765, Atlanta, GA 30374-6765 Ph: (770) 914-0116 | Madison Dawn Odom, PA-C 2985 Mack Dobbs Rd Nw, Kennesaw, GA 30152-2641 Ph: (770) 268-4011 |
Joseph C Reynolds Ii, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 Phone: 770-514-5401 |
Ms. Nadia Mohammed, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Kaiser Permanente Town Park Comprehensive Medical Cente, Kennesaw, GA 30144 Phone: 770-514-5401 Fax: 617-629-6067 |
Amy Fowler, PAAA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 770-590-1442 |
Miss Tania Rani Kakar, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 Townpark Ln Nw, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 Phone: 706-238-8030 Fax: 706-238-8031 |
Summer Larae Hill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 Ernest W Barrett Pkwy Nw Ste 260, Kennesaw, GA 30152 Phone: 769-798-6324 |
David Marcus Slotin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144 Phone: 770-422-0064 |
Kristopher Dolehanty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2782 N Cobb Pkwy, Kennesaw, GA 30152 Phone: 770-420-1092 |