Individual provider Active NPI

Christopher William Odom, D.C.

  • Chiropractor
  • Columbus, GA
National Provider Identifier
1265663389
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008457 Issued in GA
Practice address
6298 Veterans Pkwy
Suite 10E
Columbus, GA 31909
Phone
(678) 432-4755
NPI assigned
Aug 6, 2009
Last updated
Jun 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008457 GA Primary

Addresses

Primary practice location

6298 Veterans Pkwy
Suite 10E
Columbus, GA 31909

Mailing address

PO Box 307
Manchester, GA 31816
Phone (678) 432-4755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000085 GA Practitioner - Chiropractic 7214076926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
May accept Medicare assignment
Group practices
H and M Health Group LLCGroup PAC ID 8224338702, 2 clinicians

Practice addresses (Care Compare)

7646 Schomburg Rd
Columbus, GA 31909-1816
Phone (706) 507-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fuller Life Chiropractic Center PC Chiropractor CurrentSince Jan 1, 2021 Accepting new patients
Life University Inc Chiropractor PastSince Mar 28, 2017 Accepting new patients
Fuller Life Solutions Chiropractor Past Accepting new patients

Locations

6298 Veterans Pkwy
Ste 10E
Columbus, GA 31909
Phone (706) 327-1600

40 Eastbrook Bnd
Ste C
Peachtree Cty, GA 30269
Phone (706) 646-4333

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1265663389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "31816",
            "telephone_number": "678-432-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 VETERANS PKWY",
            "address_2": "SUITE 10E",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "678-432-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "CHRISTOPHER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.