1. Home
  2. Directory
  3. South Carolina
  4. Aiken
  5. Chiropractor
  6. NPI Profile

DR. JERRY DEANIE ODOM SR. D.C.
NPI 1154546240
Chiropractor in Aiken, SC

Active since April 16, 2007
147 PENDLETON ST NW, AIKEN, SC 29801(803) 646-4381 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry Deanie Odom Sr. D.c. NPPES

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

DR. JERRY DEANIE ODOM SR. D.C. (NPI 1154546240) is an individual chiropractor in Aiken, South Carolina, licensed in South Carolina (3522) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1154546240
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERRY DEANIE ODOM SR.Credential: D.C.
Location Address147 PENDLETON ST NWAiken, SC 29801-3859
Mailing Address147 Pendleton St NwAiken, SC 29801-3859 · (803) 646-4381
Phone(803) 646-4381
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 26, 2010
✔ NPI 1154546240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in SC · 3522✔ Licensed in IL · 038-010666
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
147 PENDLETON ST NW, Aiken, SC 29801
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINK45427

Other Providers at the Same Location NPPES 2

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

PHYSICAL PERFORMANCE SOLUTIONS LLC
Physical Therapist
147 PENDLETON ST NW
AIKEN, SC 29801
Aiken County (803) 275-7675
MIDLANDS PROSTHETICS ADN ORTHOTICS
Prosthetic/Orthotic Supplier
147 PENDLETON ST NW
AIKEN, SC 29801
Aiken County (803) 641-6007

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 Jerry Odom's NPI number?

The NPI number for Jerry Odom is 1154546240. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Jerry Odom located?

Jerry Odom practices at 147 Pendleton St NW, Aiken, SC 29801. The listed phone number is (803) 646-4381.

What is Jerry Odom's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jerry Odom was last updated on August 26, 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.