Stephen G. Odom, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6332 Issued in TN

Practice address

1005 N Tennessee Blvd
Murfreesboro, TN 37130-2653

Phone

(615) 893-1615

Fax

(615) 893-2747

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

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

Internal Medicine

Education

University of Tennessee, HSC, College of Medicine, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• NHC Homecare Murfreesboro Home health agency, Murfreesboro, TN, CCN 447114

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• NHC-Op LP

  • Home Health Agency
  • MC Minnville, TN
  • NPI 1124044284
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Cookeville, TN
  • NPI 1295751360
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Sparta, TN
  • NPI 1619993789
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Franklin, TN
  • NPI 1750582391
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Lebanon, TN
  • NPI 1912923061
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Murfreesboro, TN
  • NPI 1972529006
  Care Compare affiliation

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1770525107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N TENNESSEE BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302653",
            "telephone_number": "615-893-1615",
            "fax_number": "615-893-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N TENNESSEE BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302653",
            "telephone_number": "615-893-1615",
            "fax_number": "615-893-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "STEPHEN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "6332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156890",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2604322",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "44D0307626",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2006264",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest PA
• Occupational Health Centers of the Southwest, P.a.
• Occupational Health Centers of the Southwest, P.a.
• Genie Nkem Ochi
• Deborah Carroll Odom, RN, ACNP
• Bradford Dennis Odum, OTRL
• Jessica Odum, M. ED., BCBA, LBA
• Mavis Oduro
• Verna Marie Ogata
• Lisa G Ogbaide

• Internal Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.