Individual provider Active NPI

Lawrence Neil Odom, M.D.

  • Obstetrics & Gynecology Physician
  • Savannah, GA
National Provider Identifier
1679787261
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
071127 Issued in GA
Practice address
5353 Reynolds St
Ste 300
Savannah, GA 31405-6015
Phone
(912) 355-6005
Fax
(912) 355-5643
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 44187 TN
Obstetrics & Gynecology Physician 207V00000X 071127 GA Primary

Addresses

Primary practice location

5353 Reynolds St
Ste 300
Savannah, GA 31405-6015

Mailing address

5353 Reynolds St
Ste 300
Savannah, GA 31405-6015
Phone (912) 355-6005

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140324001406 GA Practitioner - Obstetrics/Gynecology 2567658586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah OBGYN PCGroup PAC ID 9638161334, 9 clinicians

Practice addresses (Care Compare)

5356 Reynolds St
Suite 410
Savannah, GA 31405-6020
Phone (912) 355-8136

Hospital & facility affiliations

  • Candler Hospital Hospital, Savannah, GA, CCN 110024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44187TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah OBGYN PC CurrentSince Jan 9, 2019 Accepting new patients
Candler Hospital Incorporated Past Accepting new patients

Locations

5353 Reynolds St
Ste 300
Savannah, GA 31405
Phone (912) 355-6005

5356 Reynolds St
Ste 410
Savannah, GA 31405
Phone (912) 355-8136

Interoperability endpoints

  • Direct secure messaging: neilodom@scmgllc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1679787261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST",
            "address_2": "STE 300",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-355-6005",
            "fax_number": "912-355-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST",
            "address_2": "STE 300",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-355-6005",
            "fax_number": "912-355-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "LAWRENCE",
        "middle_name": "NEIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "44187",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "071127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.