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JARED ODOM DO
NPI 1710636840
Internal Medicine in Bristol, TN

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: June 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jared Odom Do NPPES

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

JARED ODOM DO (NPI 1710636840) is an individual internal medicine provider in Bristol, Tennessee, licensed in Tennessee (6196) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1710636840
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJARED ODOMCredential: DO
Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7453
Mailing Address1 Medical Park BlvdBristol, TN 37620-7430 · (423) 844-1121
Phone(423) 844-1121
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateJune 14, 2025
NPPES CertifiedJune 14, 2025
✔ NPI 1710636840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 6196
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 MEDICAL PARK BLVD, Bristol, TN 37620
Open in Google Maps ↗

Secondary Practice Location 1

Location 11924 Alcoa Hwy # U-114Knoxville, TN 37920-1511 · Phone (865) 305-9340 · Fax (865) 305-9144

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared Odom Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416338082
PECOS Enrollment IDI20251104002926
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

CASSONDRA NICHOLE COMPTON CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2686
DAVID R HUDGENS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220
DR. JEAN MARIE MANCINI M.D.
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Sullivan County (423) 968-3713
THOMAS A KITTS MD
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2100
LAURA ANN ELLER AGACNP
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. WALTER DAVIS ARNOLD JR. MD
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 282-1480
DR. KARL E LAWRENCE M.D.
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. MICHAEL WAYNE RENTZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220

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 Jared Odom's NPI number?

The NPI number for Jared Odom is 1710636840. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Jared Odom located?

Jared Odom practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Jared Odom's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jared Odom enrolled in Medicare?

Yes. Jared Odom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jared Odom affiliated with any hospitals?

According to CMS data, Jared Odom is affiliated with Wellmont Bristol Regional Medical Center and Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Jared Odom was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.