Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN LARRY ODOM
NPI 1497619282
Physician Assistant in Norfolk, VA

Q: What is Jonathan Odom's NPI number?

The NPI number for Jonathan Odom is 1497619282. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Q: What is Jonathan Odom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Odom was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since December 15, 2025

301 RIVERVIEW AVE STE 202A, NORFOLK, VA 23510(757) 252-9140(757) 793-4149 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 8, 2026, Dec 15, 2025 (2 updates tracked since 2025).

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About Jonathan Larry Odom NPPES

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

JONATHAN LARRY ODOM (NPI 1497619282) is an individual physician assistant in Norfolk, Virginia, licensed in Virginia (0110012239) and active in the NPI registry since December 2025. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1497619282

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJONATHAN LARRY ODOM

Location Address301 RIVERVIEW AVE STE 202ANorfolk, VA 23510-1065

Mailing Address301 Riverview Ave Ste 202aNorfolk, VA 23510-1065 · (757) 252-9140 · Fax (757) 793-4149

Phone(757) 252-9140

Fax(757) 793-4149

Sole ProprietorYes

Enumeration DateDecember 15, 2025

Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ NPI 1497619282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110012239

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

301 RIVERVIEW AVE STE 202A, Norfolk, VA 23510

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Secondary Practice Locations 4

Location 17650 Cameron CtMobile, AL 36695-4463 · Phone (251) 422-7199

Location 21080 First Colonial Rd Ste 400Virginia Beach, VA 23454-2406 · Phone (757) 395-8720 · Fax (757) 395-8821

Location 34000 Coliseum Dr Ste 200AHampton, VA 23666-5975 · Phone (757) 736-1520 · Fax (757) 756-5116

Location 46251 E Virginia Beach Blvd Ste 300Norfolk, VA 23502-2800 · Phone (757) 252-9140 · Fax (757) 793-4149

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 20

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

WILSON PARRISH DAUGHERTY M.D., PH. D.

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