Individual provider

Jhaelyn Odom, N.P.

Women's Health Nurse Practitioner Registered Nurse Nurse Practitioner Medicare enrolled

Jhaelyn Odom, N.P. is a Women's Health Nurse Practitioner in Atlanta, GA, registered under NPI 1104210194. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2891 LAKEWOOD AVE SW, Atlanta, GA 30315. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2891 LAKEWOOD AVE SW, Atlanta, GA 30315 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RN221177 GA Women's Health Nurse Practitioner primary
RN133392 LA Registered Nurse
95002527 CA Nurse Practitioner
AP08578 LA Women's Health Nurse Practitioner
RN95062945 CA Registered Nurse

Licences are recorded in 3 states: GA, LA, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
5890004618

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: California, Georgia and Louisiana. The practice address on file is in Atlanta, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
95002527
Specialty
Nurse Practitioner
Verify with the CA board →
GA Georgia practice address
Licence
RN221177
Specialty
Women's Health Nurse Practitioner
Verify with the GA board →
LA Louisiana
Licence
RN133392
Specialty
Registered Nurse
Verify with the LA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Women's Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LW0102X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Women's Health

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LW0102X Women's Health Nurse Practitioner Women's Health RN221177 GA primary
163W00000X Registered Nurse RN133392 LA
363L00000X Nurse Practitioner 95002527 CA
363LW0102X Women's Health Nurse Practitioner Women's Health AP08578 LA
163W00000X Registered Nurse RN95062945 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104210194 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 27, 2015
Last updatedJul 15, 2024
StatusActive
Sole proprietorYes
CredentialN.P.
Practice address 2891 LAKEWOOD AVE SW
Atlanta, GA 30315
(678) 927-9996
Fax (678) 390-9775
Mailing address 5925 SAN JUAN DR
Baton Rouge, LA 70811
This record was updated on Jul 15, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1104210194 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 2 1 0 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 4 1 0 1 9

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104210194?
NPI 1104210194 is the National Provider Identifier assigned to Jhaelyn Odom, N.P. in Atlanta, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Women's Health cover?
Definition to come...
How do I contact Jhaelyn Odom, N.P.?
The phone number on file with NPPES is (678) 927-9996, last updated Jul 15, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jhaelyn Odom, N.P. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104210194 a valid number?
Yes. 1104210194 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.