Individual provider Active NPI

Marina Bogdanovic Odabasic, MD

  • Psychiatry Physician
  • Midland, MI
National Provider Identifier
1225099088
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301057757 Issued in MI
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

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
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, OH15 enrollments
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 15

Enrollment IDStateProvider typePAC IDDetails
I20060201000258 MI Practitioner - Psychiatry 8426062241 Reassigns benefits to 4 organizations
I20240813001371 TN Practitioner - Psychiatry 8426062241 Reassigns benefits to 3 organizations
I20240917000036 WV Practitioner - Psychiatry 8426062241 Reassigns benefits to 2 organizations
I20241016000642 KS Practitioner - Psychiatry 8426062241 Reassigns benefits to 1 organization
I20250131001909 MO Practitioner - Psychiatry 8426062241 Reassigns benefits to 2 organizations
I20250423002480 SC Practitioner - Psychiatry 8426062241 Reassigns benefits to 5 organizations
I20250616000438 WI Practitioner - Psychiatry 8426062241 Reassigns benefits to 1 organization
I20250729000826 OK Practitioner - Psychiatry 8426062241 Reassigns benefits to 1 organization
I20250827000298 MS Practitioner - Psychiatry 8426062241 Reassigns benefits to 2 organizations
I20250930000888 WY Practitioner - Psychiatry 8426062241 Reassigns benefits to 4 organizations
I20251023001892 AR Practitioner - Psychiatry 8426062241 Reassigns benefits to 1 organization
I20260205004616 AL Practitioner - Psychiatry 8426062241 Reassigns benefits to 1 organization
I20260306000087 GA Practitioner - Psychiatry 8426062241 Reassigns benefits to 1 organization
I20260401000011 LA Practitioner - Psychiatry 8426062241 Reassigns benefits to 1 organization
I20260424003066 OH Practitioner - Psychiatry 8426062241 Reassigns benefits to 1 organization

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
Cookeville Regional Medical CenterGroup PAC ID 7810805736, 51 clinicians
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians
Ascension Via Christi Hospitals Wichita IncGroup PAC ID 5799696944, 123 clinicians

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

LicenseStateTypeSpecialty
D0103238MDMDPsychiatry Physician
4301057757MIMDPsychiatry Physician
35221MSMDPsychiatry Physician
35C.003154OHMDPsychiatry Physician
71407TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Psychiatry CurrentSince Jun 14, 2025 Accepting new patients
Lexington Health Inc CurrentSince Mar 1, 2025 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Jun 14, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 4, 2019 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jul 1, 2024 Accepting new patients
Henry Ford Health System CurrentSince Mar 1, 2024 Accepting new patients
Henry Ford Health System Psychiatry CurrentSince Mar 1, 2024 Accepting new patients
St Josephs Hospital of Buckhannon Inc CurrentSince Jul 24, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jun 14, 2025 Accepting new patients
Mymichigan Medical Group Psychiatry CurrentSince Mar 25, 2008 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Oct 1, 2025 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Mar 25, 2008 Accepting new patients
Lexington Health Inc Psychiatry CurrentSince Mar 1, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Feb 11, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 1, 2025 Accepting new patients
Lake Regional Health System CurrentSince Mar 1, 2025 Accepting new patients
Cookeville Regional Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jul 24, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 4, 2019 Accepting new patients
Lexington Health Inc Current Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jul 25, 2025 Accepting new patients
Henry Ford Health System Current Accepting new patients
McLeod Medical Center-Dillon CurrentSince Oct 1, 2025 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Apr 10, 2025 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jul 25, 2025 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jul 24, 2025 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Aug 1, 2024 Accepting new patients
Community Mental Health Services of St Joseph County CurrentSince Oct 15, 2024 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Aug 1, 2024 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Oct 1, 2025 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
St. John Physicians, Inc CurrentSince Jul 1, 2025 Accepting new patients
Cookeville Regional Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Lake Regional Health System CurrentSince Mar 1, 2025 Accepting new patients
Lake Regional Health System Current Accepting new patients
McLeod Health Clarendon CurrentSince Oct 1, 2025 Accepting new patients
McLeod Health Clarendon CurrentSince Oct 1, 2025 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Oct 1, 2025 Accepting new patients
Medical Foundation of Central Ms CurrentSince Jun 14, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Feb 11, 2025 Accepting new patients
St. John Physicians, Inc. Psychiatry CurrentSince Jul 1, 2025 Accepting new patients
Mymichigan Medical Group Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 1, 2025 Accepting new patients
Community Mental Health for Central Michigan Psychiatry PastSince Nov 24, 2019 Accepting new patients
Community Mental Health for Central Michigan Psychiatry PastSince Feb 13, 2003 Accepting new patients
Norserv Group LTD PastSince Sep 1, 2000 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

  • Direct secure messaging: mbogdanovic188251@direct.lexmed.com
  • Direct secure messaging: mbogdanovic1019967@direct.hfhs.org
  • Direct secure messaging: mbogdanovic6259@mymichiganhealth.midirect.net
  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 52

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

Verify at the official NPI Registry.