Paul L Odom (NPI# 1073609467, PAC ID# 4082786991) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073609467 |
| PAC ID by PECOS | 4082786991 |
| Professional Enrollment ID | I20080710000193 |
| Full Name | Paul L Odom |
| Organization Legal Name | YALOBUSHA GENERAL HOSPITAL |
| Address |
604 S Main St Odom Rural Health Clinic Water Valley MS 38965-3468 |
| Phone Number | 6624734050 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1963 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486601648 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250061 | YALOBUSHA GENERAL HOSPITAL |
| 250168 | UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA |
| 250034 | BAPTIST MEMORIAL HOSPITAL NORTH MS |
| Address | Phone | Organization |
|---|---|---|
| 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 | 6624734050 | YALOBUSHA GENERAL HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 46% |
| Organization Legal Name | YALOBUSHA GENERAL HOSPITAL |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominika Alina Jegen | Family Medicine | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Joeli W Link | Nurse Practitioner | Yalobusha General Hospital | 606 S Main St, Medical Arts Building, Water Valley, MS 38965-3468 |
| Demetrica S Pegues | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Heidi D Pratt | Family Medicine | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Anthony W Jackson | Psychiatry | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| George E Abraham | Family Medicine | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Katherine C Smith | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Tippini K Lott | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Chastity A Barnette | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Vicki F Turnage | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Street Address |
604 S MAIN ST ODOM RURAL HEALTH CLINIC |
| City | WATER VALLEY |
| State | MS |
| Zip | 38965-3468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominika Alina Jegen | Family Medicine | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Demetrica S Pegues | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Heidi D Pratt | Family Medicine | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Anthony W Jackson | Psychiatry | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| George E Abraham | Family Medicine | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Katherine C Smith | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Tippini K Lott | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Chastity A Barnette | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| John C Woodard | Clinical Social Worker | 604 S Main St, Adrian, MI 49221-3215 | |
| Vicki F Turnage | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Harrington | Physical Therapy | Cornerstone Rehabilitation, Inc | 50 S Main St, Water Valley, MS 38965-2946 |
| Jennifer S Mcgavock | Physical Therapy | Cornerstone Rehabilitation, Inc | 50 S Main St, Water Valley, MS 38965-2946 |
| Stephen Edwards | Optometry | 302 Railroad St, Water Valley, MS 38965-3032 | |
| Cinnamon Caryl Foster | Nurse Practitioner | 712 S Main St, Water Valley, MS 38965-3334 | |
| Joeli W Link | Nurse Practitioner | Yalobusha General Hospital | 606 S Main St, Medical Arts Building, Water Valley, MS 38965-3468 |
| Deana Michelle Harmon | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Antoinette R Taylor | Family Medicine | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| Whitney R Crow | Nurse Practitioner | Yalobusha General Hospital | 604 S Main St, Odom Rural Health Clinic, Water Valley, MS 38965-3468 |
| George R Orndorff | Chiropractic | Yalobusha General Hospital | 606 S Main St, Medical Arts Building, Water Valley, MS 38965-3468 |
| Stacy P Thomas | Nurse Practitioner | Yalobusha General Hospital | 606 S Main St, Medical Arts Building, Water Valley, MS 38965-3468 |
| Find all physicians in zip 38965 | |||
| City | WATER VALLEY |
| Zip Code | 38965 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WATER VALLEY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Paul L Odom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.