CECIL DOUGLAS ODOM M.D.
NPI 1093815474
Obstetrics & Gynecology - Gynecology in Jackson, MS

Q: What is Cecil Odom's NPI number?

The NPI number for Cecil Odom is 1093815474. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Cecil Odom's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Cecil Odom was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 25, 2006

1020 RIVER OAKS DRIVE,, STE 310, JACKSON, MS 39232(601) 932-5006(601) 932-4548 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cecil Douglas Odom M.d. NPPES

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

CECIL DOUGLAS ODOM M.D. (NPI 1093815474) is an individual gynecology provider in Jackson, Mississippi, licensed in Mississippi (05821) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1093815474

Entity TypeIndividualMale

Primary Taxonomy207VG0400X

Provider Legal NameCECIL DOUGLAS ODOMCredential: M.D.

Location Address1020 RIVER OAKS DRIVE,, STE 310Jackson, MS 39232

Mailing Address1020 River Oaks Drive,, Ste 310Jackson, MS 39232 · (601) 932-5006 · Fax (601) 932-4548

Phone(601) 932-5006

Fax(601) 932-4548

Sole ProprietorNo

Enumeration DateSeptember 25, 2006

Last NPPES UpdateOctober 18, 2010

✔ NPI 1093815474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in MS · 05821

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

1020 RIVER OAKS DRIVE,, Jackson, MS 39232

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Other Identifiers 3

Medicare UPIND89911MS

Medicaid00017818MS

Medicare ID-Type Unspecified160000689MS

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 Cecil Odom's NPI number?

The NPI number for Cecil Odom is 1093815474. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Cecil Odom located?

Cecil Odom practices at 1020 River Oaks Drive, Ste 310, Jackson, MS 39232. The listed phone number is (601) 932-5006.

What is Cecil Odom's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Cecil Odom was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.