ODELL P. STILL (DO) – Family Medicine Physician, NPI 1609868058

ODELL P. STILL (DO) is a healthcare provider. based in Vidalia, Georgia. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. 37085 (GA). The NPI Number for ODELL P. STILL (DO) is 1609868058

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
ODELL P. STILL (DO)
NPI
1609868058
Phone
(912) 537-0614
Address
1811 Manning Dr
Enumeration Date
20 August 2005
Last Update Date
4 April 2019

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
9124278433
Graduation Year
1991 (35 years ago)
PAC ID
4981508272
Group Practice PAC ID
3072407808
Professional Enrollment ID
I20050531000650
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for ODELL P. STILL (DO)

  • 1811 Manning Dr

    Vidalia, GA 304748921

    Phone: (912) 537-0614

    Fax: (912) 537-0617

    Type: Location

  • PO BOX 1297

    HAWKINSVILLE, GA 310367297

    Phone: (478) 783-0299

    Fax: (478) 783-3730

    Type: Mailing

  • 136 W DYKES ST

    COCHRAN, GA 31014

    Phone: (478) 934-0030

    Fax: (478) 783-3730

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30474)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072407808View full group profile
NameSpecialtyState
C H I R O P R A C T I CGA
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerFL
-GA

Reviews

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Frequently asked questions

How is ODELL P. STILL (DO) identified in CMS data?
CMS-hosted NPPES data lists ODELL P. STILL (DO) with NPI 1609868058.
Does CMS list ODELL P. STILL (DO) as active?
Yes — ODELL P. STILL (DO) is active in the NPI listing used on this page.
What healthcare role does ODELL P. STILL (DO) hold?
Scheduling teams often label ODELL P. STILL (DO) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does ODELL P. STILL (DO) list a practice location?
Patients near Vidalia, Georgia may find ODELL P. STILL (DO) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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