Cynthia C. Odom, CNM, FNP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R748528 Issued in MS

Practice address

920 Matthew Dr
Waynesboro, MS 39367-2553

Phone

(601) 735-2401

Fax

(601) 735-5205

NPI assigned

Nov 22, 2005

Last updated

Apr 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Cynthia C. Loper Former name

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077
• South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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

• Wayne General Hospital

  dba Wayne General Crna

  • Certified Registered Nurse Anesthetist
  • Waynesboro, MS
  • NPI 1093930638
  Medicare reassignment Care Compare group NPD
• Walley Clinic PA

  • Family Medicine Physician
  • Waynesboro, MS
  • NPI 1669463584
  NPD (past)
• Wayne General Hospital

  dba Wayne General School Clinic

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1558963496
  NPD (past)
• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983
  NPD (past)
• Wayne General Hospsital

  dba Wayne General Ekg

  • Interventional Cardiology Physician
  • Waynesboro, MS
  • NPI 1902021546
  NPD (past)

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

• South Central Regional Medical Center

  • General Acute Care Hospital
  • Laurel, MS
  • NPI 1619973542
  Care Compare affiliation
• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983
  Care Compare affiliation

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1093798266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1249",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393671249",
            "telephone_number": "601-735-2401",
            "fax_number": "601-735-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672553",
            "telephone_number": "601-735-2401",
            "fax_number": "601-735-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "CYNTHIA",
        "middle_name": "C.",
        "credential": "CNM, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R748528",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MS",
            "license": "R748528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116409",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569900143",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "730-19137",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "LOPER",
            "middle_name": "C.",
            "credential": "CNM, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mississippi State Department of Health
• Auburn Ansley Moak, DMD
• Brandon Brian Moak, DMD
• Ms Hud Pine View LLC (Pine View Health and Rehabilitation Center)
• Mandy Yvette Munn, FNP
• Olson Chiropractic Clinic PA
• Andrew R Olson
• P&P Counseling Services Waynesboro Branch
• Jaimee Victoria Paige, PHMNP-BC
• Rachel Therese Palmer, D.O.

• Advanced Practice Midwife in Waynesboro, MS
• Providers in Waynesboro, MS by specialty
• Advanced Practice Midwife in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.