MADISON DAWN ODOM PA-C
NPI 1851949416
Physician Assistant in Kennesaw, GA

Q: What is Madison Odom's NPI number?

The NPI number for Madison Odom is 1851949416. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Q: What is Madison 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 Madison Odom was last updated on July 30, 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.

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment

2985 MACK DOBBS RD NW, KENNESAW, GA 30152(770) 268-4011(470) 251-6052 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Nov 23, 2021, Aug 27, 2019 (3 updates tracked since 2019).

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About Madison Dawn Odom Pa-c NPPES

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

MADISON DAWN ODOM PA-C (NPI 1851949416) is an individual physician assistant in Kennesaw, Georgia, licensed in Georgia (10775) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains a secondary practice location in Perry.

NPPES Registry Identity

NPI1851949416

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADISON DAWN ODOMCredential: PA-C

Location Address2985 MACK DOBBS RD NWKennesaw, GA 30152-2641

Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0116 · Fax (770) 955-4278

Phone(770) 268-4011

Fax(470) 251-6052

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 27, 2019

Last NPPES UpdateJuly 30, 20253 updates tracked since enumeration

NPPES CertifiedJuly 30, 2025

✔ NPI 1851949416 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 GA · 10775

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.

2985 MACK DOBBS RD NW, Kennesaw, GA 30152

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Secondary Practice Location 1

Location 11016 Keith DrPerry, GA 31069-2947 · Phone (478) 988-1515

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Madison Dawn Odom Pa-c 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 ID7315339660

PECOS Enrollment IDI20220118000754

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

56 services42 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services14 patients

Hospital Affiliations CMS Care Compare

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110069

Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30152 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier22 claims23 services$6.86 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier14 claims14 services$91.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

DR. STACEY IKEBUDU MD

Internal Medicine