Cody Lane Odom, is a
Nurse Practitioner - Family based in Dexter, Georgia. Cody Lane Odom is licensed to practice in Georgia (license number RN304176) and his current practice location is
2633 Ga Highway 338, Dexter, Georgia. He can be reached at his office (for appointments etc.) via phone at
(478) 484-5670.
NPI number for Cody Lane Odom is 1326979386 and his current mailing address is 2633 Ga Highway 338, Dexter, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326979386.
Provider's Profile
| Full Name | Cody Lane Odom |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2633 Ga Highway 338, Dexter, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326979386
- Provider Enumeration Date: 05/28/2026
- Last Update Date: 05/28/2026
Medical Identifiers
Medical identifiers for Cody Lane Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326979386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN304176 (Georgia) | Primary |
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. Cody Lane Odom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cody Lane Odom,
2633 Ga Highway 338,
Dexter, GA 31019-3534
Ph: (478) 484-5670 | Cody Lane Odom,
2633 Ga Highway 338,
Dexter, GA 31019-3534
Ph: (478) 484-5670 |
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