DR. TERRY WILLIAM ODOM M.D.
NPI 1093814980
Pediatrics in Amory, MS

Active since September 21, 2006CLIA 25D2094499 · Waiver
702 EARL FRYE BLVD, AMORY, MS 38821(662) 256-9391(662) 256-4307 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Terry William Odom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TERRY WILLIAM ODOM M.D. (NPI 1093814980) is an individual pediatrics provider in Amory, Mississippi, licensed in Mississippi (07566) and active in the NPI registry since September 2006. He holds a CLIA Waiver certificate valid through April 19, 2027.

NPPES Registry Identity

NPI1093814980
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. TERRY WILLIAM ODOMCredential: M.D.
Location Address702 EARL FRYE BLVDAmory, MS 38821-9403
Mailing Address702 Earl Frye BlvdAmory, MS 38821-9403 · (662) 256-9391 · Fax (662) 256-4307
Fax(662) 256-4307
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJune 10, 2015
NPI 1093814980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MS · 07566
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
702 EARL FRYE BLVD, Amory, MS 38821

Other Identifiers 2

Medicare UPINF01954MS
Medicaid00015694MS

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2094499

Terry W Odom Pediatrics · Amory, MS
Active · expires Apr 19, 2027
CLIA Number25D2094499
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorTerry W. Odom
Laboratory Phone(662) 256-9391
Laboratory LocationTerry W Odom Pediatrics702 Earl Frye Blvd, Amory, MS 38821
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
702 EARL FRYE BLVD
AMORY, MS 38821
Pharmacist
702 EARL FRYE BLVD
AMORY, MS 38821
Pediatrics
702 EARL FRYE BLVD
AMORY, MS 38821
Durable Medical Equipment & Medical Supplies
702 EARL FRYE BLVD
AMORY, MS 38821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry Odom's NPI number?

The NPI number for Terry Odom is 1093814980. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Terry Odom located?

Terry Odom practices at 702 Earl Frye Blvd, Amory, MS 38821. The listed phone number is (662) 256-9391.

What is Terry Odom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Terry Odom hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2094499) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Terry Odom accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Terry Odom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Terry Odom was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.