DR. CARROLL G ODEM MD NPI 1144224957

NPI Information

  • NPI: 1144224957
  • Provider Name: DR. CARROLL G ODEM, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6380 BELLS FERRY RD STE 107
    ACWORTH, GA
    ZIP 30102
  • Phone: (404) 989-7384

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NPI Details

DR. Carroll G Odem, MD is a specialist in Acworth, GA with 34 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Carroll G Odem, MD NPI is 1144224957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6380 BELLS FERRY RD STE 107
ACWORTH, GA
ZIP 30102-435
Phone: (404) 989-7384
Fax: (855) 604-0965

The NPI 1144224957 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Administration of psychological or neuropsychological test by technician, first 30 minutes (HCPCS:96138)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0481)
  • Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes (HCPCS:99422)
  • Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes (HCPCS:99421)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)
  • Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt (HCPCS:95924)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Measurement of nerve conduction using visual stimulation testing with report (HCPCS:95930)
  • Measurement of brain wave activity (eeg), digital analysis (HCPCS:95957)
  • Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report (HCPCS:92653)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes (HCPCS:G0396)

The enumeration date for this NPI number is 6/9/2005 and was last updated on 3/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD24920TENNESSEEYes
2207R00000XInternal Medicine51171GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13882406MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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