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

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: July 19, 2026.

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 with the weekly NPPES data releases published by CMS.