Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew William Odegaard, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669095790

Andrew William Odegaard, MD is a Family Practice in Macon, Georgia. Graduated from Mercer University School of Medicine in 2020, 6 years ago. Practices with Jasper Health Services Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
Mercer University School of Medicine
Licensed in
GA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone: (478) 633-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12178 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669095790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2020
Last updated in NPPESAugust 12, 2021
Certification dateAugust 1, 2021
Mailing address3780 Eisenhower Pkwy, Macon, GA 31206-0800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Jasper Health Services Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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