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CAROL M. ODEGAARD, MD, PC
NPI 1114294972
Family Medicine in Jackson, GA

Active since November 22, 2011
261 BROOKWOOD AVE, JACKSON, GA 30233(678) 752-0555(678) 752-0556 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol M. Odegaard, Md, Pc NPPES

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

CAROL M. ODEGAARD, MD, PC (NPI 1114294972) is a healthcare organization registered as a family medicine in Jackson, Georgia and active in the NPI registry since November 2011. The organization lists Carol M. Odegaard, Ceo/physician, as its authorized official.

NPPES Registry Identity

NPI1114294972
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAROL M. ODEGAARD, MD, PC
Location Address261 BROOKWOOD AVEJackson, GA 30233-1460
Mailing Address261 Brookwood AveJackson, GA 30233-1460 · (678) 752-0555 · Fax (678) 752-0556
Phone(678) 752-0555
Fax(678) 752-0556
Organization SubpartNo
Authorized OfficialCarol M. OdegaardCeo/physician · (678) 752-0555
Enumeration DateNovember 22, 2011
Last NPPES UpdateAugust 15, 2012
✔ NPI 1114294972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 040495
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
261 BROOKWOOD AVE, Jackson, GA 30233
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Other Identifiers 2

Medicare PIN202G086738GA
Other003122938AGA · Medicaid Facility

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

THE DOCTOR'S OFFICE, LLC
Family Medicine
261 BROOKWOOD AVE
JACKSON, GA 30233
Butts County (678) 752-0555
HEATHER ELIZABETH BROOKER FNP-C
Nurse Practitioner (Family)
261 BROOKWOOD AVE
JACKSON, GA 30233
Butts County (678) 752-0555
CAROL M ODEGAARD M.D.
Family Medicine
261 BROOKWOOD AVE
JACKSON, GA 30233
Butts County (678) 752-0555

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 Carol M. Odegaard, MD, PC's NPI number?

The NPI number for Carol M. Odegaard, MD, PC is 1114294972. It was assigned to this organization in the NPPES registry on November 22, 2011.

Where is Carol M. Odegaard, MD, PC located?

Carol M. Odegaard, MD, PC is located at 261 Brookwood Ave, Jackson, GA 30233. The listed phone number is (678) 752-0555.

What is Carol M. Odegaard, MD, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Carol M. Odegaard, MD, PC was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.