Samuel Dewayne Oldham, PSYD - Psychologist in Moody Afb, GA

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Samuel Dewayne Oldham, PSYD is a Psychologist - Clinical based in Moody Afb, Georgia. Samuel Dewayne Oldham is licensed to practice in Alabama (license number 1980) and his current practice location is 3278 Mitchell Blvd, Moody Afb, Georgia. He can be reached at his office (for appointments etc.) via phone at (229) 257-2778.

NPI number for Samuel Dewayne Oldham is 1043517089 and his current mailing address is 3278 Mitchell Blvd, Moody Afb, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043517089.

Contact Information

Samuel Dewayne Oldham, PSYD
3278 Mitchell Blvd,
Moody Afb, GA 31699-1500
(229) 257-2778
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamuel Dewayne Oldham
GenderMale
SpecialityPsychologist - Clinical
Location3278 Mitchell Blvd, Moody Afb, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043517089
  • Provider Enumeration Date: 02/25/2011
  • Last Update Date: 06/23/2025

Medical Identifiers

Medical identifiers for Samuel Dewayne Oldham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043517089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1980 (Alabama)Primary

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. Samuel Dewayne Oldham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Dewayne Oldham, PSYD
3278 Mitchell Blvd,
Moody Afb, GA 31699-1500

Ph: (229) 257-2778		Samuel Dewayne Oldham, PSYD
3278 Mitchell Blvd,
Moody Afb, GA 31699-1500

Ph: (229) 257-2778

Reviews and Comments


Psychologist in Moody Afb, GA

Dr. Gaddiel Nieves, PSY.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699
Phone: 229-257-3898    
Charles Paul Ross,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699
Phone: 229-257-2778    

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