JOHN ODOM
NPI 1104718733
Student in an Organized Health Care Education/Training Program in Little Rock, AR
About John Odom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ODOM (NPI 1104718733) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Odom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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 John Odom's NPI number?
The NPI number for John Odom is 1104718733. It was assigned to this individual provider in the NPPES registry on July 17, 2025.
Where is John Odom located?
John Odom practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 686-8000.
What is John Odom's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is John Odom enrolled in Medicare?
Yes. John Odom is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Odom was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# John Odom · NPI 1104718733
Student in an Organized Health Care Education/Training Program provider in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since July 17, 2025.
## Identity
- **NPI:** 1104718733 (Entity type: Individual)
- **Enumerated:** July 17, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST, Little Rock, AR 72205-7199
- **Phone:** (501) 686-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104718733) · Data from the CMS NPPES public registry.