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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Carol M. Odegaard, MD, PC

Family Medicine Physician in Jackson, GA · enumerated 2011 · authorized official Carol Odegaard, Ceo/Physician.

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

National Provider Identifier

1114294972

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Registry record

Entity type Organization (Type 2)
Legal business name Carol M. Odegaard, MD, PC
Practice address 261 Brookwood Ave, Jackson, GA, 30233
Phone (678) 752-0555
Fax (678) 752-0556
Enumeration date Nov 22, 2011
Last updated in NPPES Aug 15, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 040495 (GA) Primary

Authorized official

Name Carol Odegaard
Title Ceo/Physician
Phone (678) 752-0555

Other identifiers

Identifier Type State Issuer
003122938A Other GA MEDICAID FACILITY

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.

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Frequently asked questions

What is the NPI number for Carol M. Odegaard, MD, PC?
The NPI for Carol M. Odegaard, MD, PC is 1114294972, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Carol M. Odegaard, MD, PC?
NPPES lists Carol Odegaard (Ceo/Physician) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-15.