Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kelly Nicole O'Dell, MD

Individual provider Family Medicine Physician · NPI 1700226131

Dr. Kelly Nicole O'Dell, MD is a Family Practice in Oakwood, Georgia. Graduated from Indiana University School of Medicine in 2013, 13 years ago. Practices with The Longstreet Clinic, PC, a 142-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Illinois.

Years since qualifying
13
Trained at
Indiana University School of Medicine
Licensed in
GA, IL
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4222 Fairbanks Dr
Oakwood, GA 30566-2811
Phone: (770) 534-6053
Fax: (770) 534-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1818 E Windsor Rd, Urbana, IL 61802-9566 — (217) 255-9670

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 83884 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125063367 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036141396 (IL)

Record details

NPI number1700226131
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2013
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice The Longstreet Clinic, Pc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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