John W Odom, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

033661 Issued in GA

Practice address

594 S Columbia Ave
Ste 100
Rincon, GA 31326-0919

Phone

(912) 826-4057

Fax

(912) 826-2853

NPI assigned

Jul 28, 2005

Last updated

Feb 4, 2010By the provider in NPPES

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 GA

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 1

Specialty

General Surgery

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Surgical PCGroup PAC ID 2961490669, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Candler Hospital Hospital, Savannah, GA, CCN 110024
• Optim Medical Center - Screven Hospital, Sylvania, GA, CCN 111312
• St Joseph's Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnodom@metrosurgi.allscriptsdirect.net

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.

• Metro Surgical, PC

  • Surgery Physician
  • Rincon, GA
  • NPI 1902823024
  Medicare reassignment Care Compare group NPD
• Metro Surgical PC

  • Surgery Physician
  • Bluffton, SC
  • NPI 1033481551
  NPD
• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  NPD (past)

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

• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation
• Saint Joseph's Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684
  Care Compare affiliation
• Screven County Hospital, LLC

  dba Optim Medical Center - Screven

  • Critical Access Hospital
  • Sylvania, GA
  • NPI 1225339898
  Care Compare affiliation

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1508866773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "address_2": "594 S COLUMBIA DRIVE, STE 100",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313260919",
            "telephone_number": "912-826-4057",
            "fax_number": "912-826-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 S COLUMBIA AVE",
            "address_2": "STE 100",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313260919",
            "telephone_number": "912-826-4057",
            "fax_number": "912-826-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "033661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0437236D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN8505",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Hope Home Medical
• New Hope Home Medical, Inc
• Kevin Nguyen
• Virginia Ann Nguyen, RRT
• Angela Marie Odom, FNP-C
• Teresa Lynn Oglesbee, LPC
• Optim Orthopedics, LLC (Optim Orthopedics)
• Our Therapy Place, LLC
• Tracey Embly Pace, TH.D.
• Tammy Pack, LMT

• Surgery Physician in Rincon, GA
• Providers in Rincon, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.