Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700188042 Individual Practitioner Female Practitioner

Odetta Mary Dodson , LMT

Contractor • Smyrna, GA

Professional Overview & Biography Verified Profile Summary

Odetta Dodson, LMT is a registered healthcare professional specializing in Contractor in Smyrna, GA. Practice services are available at 4579 S COBB DR SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4579 S Cobb Dr Se
Suite 600

Smyrna, GA 300806999

Telephone 6788388333
Associated Practice Facility / Clinic
🏢 Physiotherapy Associates Inc Facility NPI 1780769604

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Smyrna, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Smyrna, GA (727 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License GA 000299

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Edra Faust , APC

Counselor - Mental Health

NPI 1033949342
Pamela Mchan , LPC

Counselor - Mental Health

NPI 1093940801

Licensed Professional Counselor

Shaketa Robinson , LPC

Counselor - Professional

NPI 1164647616

Licensed Professional Counselor

Lorraine Stevens , LPC

Counselor - Professional

NPI 1164808184

Licensed Professional Counselor

Derris Mitchell

Counselor - Professional

NPI 1215222690
Mildred Watson , PSD, LPC, CPCS

Counselor - Mental Health

NPI 1225513567

PSD, Licensed Professional Counselor, CPCS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 01, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2010

Registered at 4579 S COBB DR SE, SUITE 600, SMYRNA, GA 300806999 (Tel: 6788388333)

📍
Updated Business Mailing Address December 01, 2010

Registered at 4579 SOUTH COBB DR, SUITE 6, SMYRNA, GA 30080 (Tel: 4045430393)

👤
Provider Name / Credentials Updated December 01, 2010

Recorded as ODETTA DODSON, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2010

Contractor (License #000299 in GA)

🟢
Initial NPI Registration & Enumeration November 18, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700188042
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2010
Last Update: December 01, 2010
Sole Proprietor: No

Mailing Address

4579 South Cobb Dr, Suite 6

Smyrna, GA 30080

Phone: 4045430393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.