SAMUEL DEWAYNE OLDHAM PSYD
NPI 1043517089
Psychologist - Clinical in Moody Afb, GA

Q: What is Samuel Oldham's NPI number?

The NPI number for Samuel Oldham is 1043517089. It was assigned to this individual provider in the NPPES registry on February 25, 2011.

Q: What is Samuel Oldham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Oldham was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 25, 2011

3278 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-2778 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Samuel Dewayne Oldham Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL DEWAYNE OLDHAM PSYD (NPI 1043517089) is an individual clinical provider in Moody Afb, Georgia, licensed in Alabama (1980) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1043517089

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameSAMUEL DEWAYNE OLDHAMCredential: PSYD

Location Address3278 MITCHELL BLVDMoody Afb, GA 31699-1500

Mailing Address3278 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-2778

Phone(229) 257-2778

Sole ProprietorNo

Enumeration DateFebruary 25, 2011

Last NPPES UpdateJune 23, 2025

NPPES CertifiedJune 23, 2025

✔ NPI 1043517089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AL · 1980

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3278 MITCHELL BLVD, Moody Afb, GA 31699

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MESHVA AKWALIA D.O.

Pediatrics

3278 MITCHELL BLVD
MOODY AFB, GA 31699

Lowndes County (229) 257-2778

DR. ADAM K FRY PT DPT

Physical Therapist

3278 MITCHELL BLVD
MOODY AFB, GA 31699

Lowndes County (229) 257-6364

DR. JAMES PIERCE PHARMD

Pharmacist

3278 MITCHELL BLVD, PHARMACY
MOODY AFB, GA 31699

Lowndes County (229) 257-2341

KONSTANTINE DIETRICH DDS

Dentist (General Practice)

3278 MITCHELL BLVD
MOODY AFB, GA 31699

Lowndes County (229) 257-2778

JEREL E MERIDA JR.

Physician Assistant

3278 MITCHELL BLVD
MOODY AFB, GA 31699

Lowndes County (229) 257-2778

DEBRA SIZEMORE MS, WHNP-BC, RNC-OB

Nurse Practitioner (Women's Health)

3278 MITCHELL BLVD
MOODY AFB, GA 31699

Lowndes County (671) 366-2460

DR. LASHAYLA TEEMER DYER LCSW

Social Worker (Clinical)

3278 MITCHELL BLVD
MOODY AFB, GA 31699

Lowndes County (229) 257-3998

MRS. CINDY CATHERINE RULLO

Physician Assistant

3278 MITCHELL BLVD
MOODY AFB, GA 31699

Lowndes County (229) 257-2778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Oldham's NPI number?

The NPI number for Samuel Oldham is 1043517089. It was assigned to this individual provider in the NPPES registry on February 25, 2011.

Where is Samuel Oldham located?

Samuel Oldham practices at 3278 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-2778.

What is Samuel Oldham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Samuel Oldham was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.