Active NPI
Marina Bogdanovic Odabasic, MD
- Psychiatry Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301057757
- Practice address
- 4201 Campus Ridge Dr Ste 3950
Midland, MI 48640-6131 - Phone
- (989) 839-3385
- Fax
- (989) 839-1491
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35C.003154 | OH | |
| Psychiatry Physician | 2084P0800X | 35221 | MS | |
| Psychiatry Physician | 2084P0800X | D0103238 | MD | |
| Psychiatry Physician | 2084P0800X | 4301057757 | MI | Primary |
| Psychiatry Physician | 2084P0800X | 93841 | SC | |
| Psychiatry Physician | 2084P0800X | 71407 | TN |
Addresses
Primary practice location
4201 Campus Ridge Dr Ste 3950
Midland, MI 48640-6131
Mailing address
4201 Campus Ridge Dr
Midland, MI 48640-6128
Phone (989) 839-3385
Other practice location 1
100 Hospital St
Booneville, MS 38829-3354
Phone (662) 538-2110
Other practice location 2
146 E Hospital Dr Ste 120A
West Columbia, SC 29169-4800
Phone (803) 936-7460
Other practice location 3
1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-4080
Other practice location 4
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500
Other practice location 5
1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4100
Other practice location 6
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000
Other practice location 7
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000
Other practice location 8
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Other practice location 9
220 Highway 12 W
Kosciusko, MS 39090-3208
Phone (662) 290-3315
Other practice location 10
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-4910
Other practice location 11
900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-2626
Other names 1
- Marina Bogdanovic Odabasic
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbogdanovic188250@direct.lexmed.com | ||
| Direct Messaging Address | adena@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TN, WV, KS, MO, SC, WI, OK, MS, WY, AR, AL, GA, LA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 15
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 783-2497
1500 W Poplar Ave
Collierville, TN 38017-0601
1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4685
1705 E 19TH St
Tulsa, OK 74104-5410
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
400 Northwodd Dr
Centre, AL 35960-1023
Phone (256) 927-4900
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2569
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130
929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0103238 | MD | MD | Psychiatry Physician |
| 4301057757 | MI | MD | Psychiatry Physician |
| 35221 | MS | MD | Psychiatry Physician |
| 35C.003154 | OH | MD | Psychiatry Physician |
| 71407 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Psychiatry | Current | Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Psychiatry | Current | Accepting new patients |
| St Josephs Hospital of Buckhannon Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Mymichigan Medical Group | Psychiatry | Current | Accepting new patients |
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Lexington Health Inc | Psychiatry | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Lake Regional Health System | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Memorial Hospital of Sweetwater County | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Memorial Hospital of Sweetwater County | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Current | Accepting new patients | |
| Community Mental Health Services of St Joseph County | Current | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Lake Regional Health System | Current | Accepting new patients | |
| Lake Regional Health System | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| St. John Physicians, Inc. | Psychiatry | Current | Accepting new patients |
| Mymichigan Medical Group | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Community Mental Health for Central Michigan | Psychiatry | Past | Accepting new patients |
| Community Mental Health for Central Michigan | Psychiatry | Past | Accepting new patients |
| Norserv Group LTD | Past | Accepting new patients | |
| St Clair County Community Mental Health Authority | Past | Accepting new patients |
Locations (25 of 46)
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
677 E Main St
Centreville, MI 49032
Phone (269) 467-1001
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
2812 W Cadillac Dr
Farwell, MI 48622
Phone (989) 588-5050
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
4201 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4201 Campus Ridge Dr
Ste 2700
Midland, MI 48640
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
54 Hospital Dr
Ste 201
Osage Beach, MO 65065
Phone (573) 302-2764
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
Interoperability endpoints
- mbogdanovic188251@direct.lexmed.com
- mbogdanovic1019967@direct.hfhs.org
- mbogdanovic6259@mymichiganhealth.midirect.net
- https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
- mbogdanovicodabasic3024135@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 52
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Family Medicine Physician
- Wichita, KS
- NPI 1871589333
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
AR, MS, Psychiatry
-
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Community/Behavioral Health Agency
- Centreville, MI
- NPI 1366438483
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1225099088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 CAMPUS RIDGE DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406128",
"telephone_number": "989-839-3385",
"fax_number": "989-839-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 CAMPUS RIDGE DR STE 3950",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406131",
"telephone_number": "989-839-3385",
"fax_number": "989-839-1491"
}
],
"practiceLocations": [
{
"address_1": "100 Hospital St",
"address_purpose": "LOCATION",
"city": "Booneville",
"state": "MS",
"postal_code": "388293354",
"country_code": "US",
"telephone_number": "662-538-2110",
"fax_number": "662-538-2593",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "146 E Hospital Dr Ste 120A",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291694800",
"country_code": "US",
"telephone_number": "803-936-7460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1225 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392022064",
"country_code": "US",
"telephone_number": "601-968-4080",
"fax_number": "901-227-8591",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "272 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456019031",
"country_code": "US",
"telephone_number": "740-779-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Medical Center Pkwy",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371292245",
"country_code": "US",
"telephone_number": "615-396-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 E Johnson Ave",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724058413",
"country_code": "US",
"telephone_number": "870-936-1000",
"fax_number": "870-936-0224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7601 Southcrest Pkwy",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714739",
"country_code": "US",
"telephone_number": "662-772-4000",
"fax_number": "662-772-2111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2799 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022608",
"country_code": "US",
"telephone_number": "313-916-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Highway 12 W",
"address_purpose": "LOCATION",
"city": "Kosciusko",
"state": "MS",
"postal_code": "390903208",
"country_code": "US",
"telephone_number": "662-290-3315",
"fax_number": "601-974-6245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6019 Walnut Grove Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202113",
"country_code": "US",
"telephone_number": "901-226-4910",
"fax_number": "901-226-4774",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Caton Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212295201",
"country_code": "US",
"telephone_number": "667-234-2626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOGDANOVIC ODABASIC",
"first_name": "MARINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35C.003154",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "35221",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0103238",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301057757",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "93841",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "71407",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbogdanovic188250@direct.lexmed.com",
"affiliation": "N",
"address_1": "146 E Hospital Dr Ste 120A",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena@adena.medicity.net",
"affiliation": "N",
"address_1": "272 Hospital Rd",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456019031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARINA",
"last_name": "BOGDANOVIC ODABASIC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.