1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Nurse Practitioner
  6. NPI Profile

JHAELYN ALENZIA ODOM N.P.
NPI 1104210194
Nurse Practitioner - Women's Health in Atlanta, GA

Active since March 27, 2015PECOS Enrolled
2891 LAKEWOOD AVE SW, ATLANTA, GA 30315(678) 927-9996(678) 390-9775 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, Dec 11, 2017, Dec 8, 2017 and 1 more (4 updates tracked since 2016).

About Jhaelyn Alenzia Odom N.p. NPPES

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

JHAELYN ALENZIA ODOM N.P. (NPI 1104210194) is an individual women's health provider in Atlanta, Georgia, licensed in Georgia (RN221177) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1104210194
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJHAELYN ALENZIA ODOMCredential: N.P.
Location Address2891 LAKEWOOD AVE SWAtlanta, GA 30315-5803
Mailing Address5925 San Juan DrBaton Rouge, LA 70811-4128 · (225) 931-2594
Phone(678) 927-9996
Fax(678) 390-9775
Sole ProprietorYes
Enumeration DateMarch 27, 2015
Last NPPES UpdateJuly 15, 20244 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1104210194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in GA · RN221177✔ Licensed in LA · AP08578
Also ListedRegistered NurseTaxonomy 163W00000X · License RN133392 (LA), RN95062945 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95002527 (CA)
2891 LAKEWOOD AVE SW, Atlanta, GA 30315
Open in Google Maps ↗

Secondary Practice Location 1

Location 15925 San Juan DrBaton Rouge, LA 70811-4128 · Phone (225) 931-2594

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jhaelyn Alenzia Odom N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

LAKEWOOD MEDICAL
Family Medicine
2891 LAKEWOOD AVE SW
ATLANTA, GA 30315
Fulton County (678) 927-9996

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 Jhaelyn Odom's NPI number?

The NPI number for Jhaelyn Odom is 1104210194. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Jhaelyn Odom located?

Jhaelyn Odom practices at 2891 Lakewood Ave SW, Atlanta, GA 30315. The listed phone number is (678) 927-9996.

What is Jhaelyn Odom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Jhaelyn Odom enrolled in Medicare?

Yes. Jhaelyn Odom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jhaelyn Odom was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.