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NPI 1114294972
● Active Type 2 · Organization
Carol M. Odegaard, Md, Pc
Family Medicine · Jackson, GA · NPI 1114294972
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Enumerated 2011 · 14 years on NPI
Carol M. Odegaard, Md, Pc is 1 of 5448 family medicine organizations in Georgia.
NPI age
14 years
Enumerated 2011-11-22
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Odegaard
Ceo/physician
Last NPPES update
2012-08-15
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
14 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2011 → 2026
2011-11 Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
261 Brookwood Ave
Jackson, GA 302331460
📞 6787520555 fax 6787520556
Mailing address
261 Brookwood Ave
Jackson, GA 302331460
📞 6787520555 fax 6787520556
Authorized official
Carol M. Odegaard, MD
Ceo/physician
📞 6787520555
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Family Medicine
Primary
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
GA license #040495 taxonomy 207Q00000X
Identifiers
Type Value Notes
01 (GA)
003122938A
MEDICAID FACILITY
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.