John W Odom, MD
John W Odom is a Surgery Physician provider (Surgery) practicing in Rincon, GA, registered in the NPPES registry with NPI 1508866773 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508866773 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | John W Odom |
| Credential | MD |
| Sex | Male |
| Practice address | 594 S COLUMBIA AVE, STE 100, Rincon, GA, 31326 |
| Phone | 9128264057 |
| Fax | 9128262853 |
| Enumeration date | 2005-07-28 |
| Last updated in NPPES | 2010-02-04 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 033661 | GA |
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 |
|---|---|---|---|
| 0437236D | Medicaid | GA | — |
| CN8505 | Other | GA | RR MEDICARE |
Copy-ready billing details
Provider: John Odom, MD NPI: 1508866773 Taxonomy: 208600000X (Surgery Physician) Address: 594 S COLUMBIA AVE, STE 100, Rincon, GA, 31326
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861492191 | Mark Blankenship | Individual | Colon & Rectal Surgery Physician | Rincon, GA |
| 1043212731 | Anthony Foley | Individual | Surgery Physician | Rincon, GA |
| 1902823024 | Metro Surgical, PC | Organization | Surgery Physician | Rincon, GA |
| 1437294592 | Myeyedr Optometry of Georgia, LLC | Organization | Optometrist | Rincon, GA |
| 1770700619 | Joey Christmas | Individual | Surgery Physician | Rincon, GA |
| 1518128628 | Daniel Reames | Individual | Optometrist | Rincon, GA |
| 1720548696 | Ayobami Fatunmbi | Individual | Student in an Organized Health Care Education/Training Program | Rincon, GA |
Verify this record
Cross-check NPI 1508866773 against the authoritative CMS record: view John W Odom on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-02-04.