Michael Stephen Odom, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38156 Issued in SC

Practice address

12016 N Radio Station Rd
Seneca, SC 29678-1143

Phone

(864) 882-6141

Fax

(864) 882-6680

NPI assigned

Jun 26, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Brody School of Medicine at East Carolina University, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health Services of Self Regional Healthcare Home health agency, Greenwood, SC, CCN 427018
• Anmed Health Hospital, Anderson, SC, CCN 420027
• Iva Post-Acute Nursing home, Iva, SC, CCN 425317

Merit-based Incentive Payment System (MIPS)

Final score

84.33 of 100Reported as group

Quality

75.48

Promoting interoperability

100

Improvement activities

40

Cost

72.29

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: modom8169@direct.anmedhealth.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anmed Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Anderson, SC
  • NPI 1164746392
  Medicare reassignment NPD
• Anmed Health

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1427005727
  Medicare reassignment NPD
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment NPD
• Anmed Health

  • Family Medicine Physician
  • Piedmont, SC
  • NPI 1255137832
  NPD
• Anmed Health

  • Rural Health Clinic/Center
  • Iva, SC
  • NPI 1619914983

  Family Medicine

  NPD
• Anmed Health

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1871914572
  NPD
• Prisma Health University Medical Group

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anmed Health

  • General Acute Care Hospital
  • Anderson, SC
  • NPI 1417919531
  Care Compare affiliation
• Iva Skilled Nursing, LLC

  • Skilled Nursing Facility
  • Iva, SC
  • NPI 1720751076

  Nursing home

  Care Compare affiliation
• Self Regional Healthcare

  • Home Health Agency
  • Greenwood, SC
  • NPI 1407860778
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1093197980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12016 N RADIO STATION RD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781143",
            "telephone_number": "864-882-6141",
            "fax_number": "864-882-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Whitetail Dr",
            "address_purpose": "LOCATION",
            "city": "Walhalla",
            "state": "SC",
            "postal_code": "29691",
            "country_code": "US",
            "telephone_number": "864-638-3444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 E Greenville St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211580",
            "country_code": "US",
            "telephone_number": "864-512-1000",
            "fax_number": "864-512-1823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "38156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Seneca, SC
• Providers in Seneca, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.