Geoffrey Lyle Odom, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD.023178 Issued in LA

Practice address

15790 Paul Vega MD Dr
Finance Department
Hammond, LA 70403-1434

Phone

(985) 230-1369

Fax

(985) 230-1368

NPI assigned

Jul 7, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, AL2 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 2

Specialty

Emergency Medicine

Education

Louisiana State University School of Medicine in New Orleans, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care 59 PC 8 clinicians

Baldwin Emergency Physicians, P.C.. 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
• Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Urgent Care 59, PC

  • Rural Health Clinic/Center
  • Bay Minette, AL
  • NPI 1093415671

  5% Or Greater Direct Ownership Interest, Corporate Officer

  CMS ownership

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.

• Baldwin Emergency Physicians, P.C..

  • Emergency Medicine Physician
  • Fairhope, AL
  • NPI 1154378271

  AL, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Urgent Care 59, PC

  • Rural Health Clinic/Center
  • Bay Minette, AL
  • NPI 1093415671

  AL

  Medicare reassignment Care Compare group NPD
• University of Florida Jacksonville Physicians Inc

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1326208695

  FL

  Medicare reassignment NPD
• University of Florida Jacksonville Physicians Inc

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1265693279

  Emergency Medicine

  NPD
• University of Florida Jacksonville Physicians, Inc.

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD
• North Oaks Medical Center, LLC

  • Clinical Medical Laboratory
  • Hammond, LA
  • NPI 1619303773
  NPD (past)
• Our Lady of the Lake Hospital Inc

  • Emergency Medicine Physician
  • Napoleonville, LA
  • NPI 1487796710

  Emergency Medicine

  NPD (past)
• Our Lady of the Lake Physician Group LLC

  • Hematology & Oncology Physician
  • Baton Rouge, LA
  • NPI 1184671455
  NPD (past)
• Professional Emergency Physician Associates, LLC

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1992758247

  Emergency Medicine

  NPD (past)

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

• Gulf Health Hospitals, Inc

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227

  Hospital

  Care Compare affiliation
• Mobile Infirmary Association

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1295767218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042668",
            "telephone_number": "985-230-1369",
            "fax_number": "985-230-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "address_2": "FINANCE DEPARTMENT",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-1369",
            "fax_number": "985-230-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "GEOFFREY",
        "middle_name": "LYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.023178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07972078",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1492418",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ochsner Clinic LLC
• Ochsner Clinic LLC
• Ochsner Clinic LLC
• Ochsner LLC
• Carson Lynn Ockmand
• Kendall Noelle Odom
• Thomas C Oglesbee, R.PH.
• Eli Preston Oldham
• Ololade Omolola Omole, MD
• Jack Oneil, RPT

• All providers in Hammond, LA
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.