Dr Carroll G Odem, MD - Medicare Specialist in Acworth, GA

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Dr Carroll G Odem, MD is a medicare enrolled "Specialist" physician in Acworth, Georgia. His current practice location is 6380 Bells Ferry Rd Ste 107, Acworth, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 989-7384.

Dr Carroll G Odem is licensed to practice in Tennessee (license number MD24920) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144224957.

Contact Information

Dr Carroll G Odem, MD
6380 Bells Ferry Rd Ste 107,
Acworth, GA 30102-5435
(404) 989-7384
(855) 604-0965

Map and Direction




Physician's Profile

Full NameDr Carroll G Odem
GenderMale
SpecialitySpecialist
Location6380 Bells Ferry Rd Ste 107, Acworth, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144224957
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 03/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143289249
  • Enrollment ID: I20180906003344

Medical Identifiers

Medical identifiers for Dr Carroll G Odem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144224957NPI-NPPES
3882406MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 51171 (Georgia)Secondary
174400000XSpecialist MD24920 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Carroll G Odem allows following entities to bill medicare on his behalf.
Entity NameMidnight Rose, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386260131
PECOS PAC ID: 7214352483
Enrollment ID: O20200805000549
Entity NameHardy Renew Wellness,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952914368
PECOS PAC ID: 2961812425
Enrollment ID: O20201112000534
Entity NameRegenerative Wound Solutions Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730928235
PECOS PAC ID: 2668917865
Enrollment ID: O20240711003920
Entity NameGeorgia Mso Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952196164
PECOS PAC ID: 3173041639
Enrollment ID: O20250519001080

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carroll G Odem is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Carroll G Odem, MD
8309 Grinder Creek Pl,
Chattanooga, TN 37421-2745

Ph: (423) 400-9910		Dr Carroll G Odem, MD
6380 Bells Ferry Rd Ste 107,
Acworth, GA 30102-5435

Ph: (404) 989-7384

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.