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Dr. Marty Wayne Odom, MD

Internal Medicine Physician in Clarksville, TN · enumerated 2006 · practices at Premier Medical Group PC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265520662

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Registry record

Entity type Individual (Type 1)
Name Dr. Marty Wayne Odom
Credential MD
Sex Male
Practice address 490 Dunlop Ln, Clarksville, TN, 37040
Phone (931) 245-7000
Enumeration date Oct 11, 2006
Last updated in NPPES Dec 29, 2025

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License ME82596 (FL) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 75415 (TN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
P01109190 Other FL R&R MEDICARE
266818100 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Marty Odom?
Marty Odom is registered in NPPES with the primary taxonomy of Internal Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-29.