Sondra Denise Odom, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

902049 Issued in MS

Practice address

1400 20TH Ave Ste F
Meridian, MS 39301-4103

Phone

(601) 553-2135

Fax

(601) 553-2049

NPI assigned

Jun 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Physician Alliance IncGroup PAC ID 3274727318, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Anderson Physician Alliance, Inc.

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1760798227
  Medicare reassignment Care Compare group NPD
• Anderson Regional Medical Center

  • Specialist
  • Meridian, MS
  • NPI 1043764699
  Medicare reassignment NPD
• Urology Clinic of Meridian, P.a.

  • Urology Physician
  • Meridian, MS
  • NPI 1912088295
  NPD

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

• Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1477073393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "877-348-1281",
            "fax_number": "901-227-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 20TH AVE STE F",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014103",
            "telephone_number": "601-553-2135",
            "fax_number": "601-553-2049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6347 Red Oak Drive",
            "address_purpose": "LOCATION",
            "city": "Bailey",
            "state": "MS",
            "postal_code": "39320",
            "country_code": "US",
            "telephone_number": "601-917-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "SONDRA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "902049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanne Nunnery, LPC
• Nurse Anesthesia Services of Meridian LLC
• Nurse Practitioner Associates of Meridian
• Amy Covington Odom
• Jada Clair Odom, NP
• Ugonna Okeke
• Samuel Oluwatobi Olaniyan
• Smith Teguonor Majemite Omonuwa, MD
• Onsite Occmed PA
• Delois Darlene Ortego, FNP-C

• Acute Care Nurse Practitioner in Meridian, MS
• Providers in Meridian, MS by specialty
• Acute Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.