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

Annie T Odom

Individual provider Physician Assistant · NPI 1912723727

Annie T Odom is a Physician Assistant in Greenville, North Carolina. Qualified in 2025, 1 year ago. Practices with Coastal Carolina Family Practice PA, a 5-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2024

Practice location Address checks out

500 Health Science Dr
Greenville, NC 27834
Phone: (828) 390-6404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NC)

Record details

NPI number1912723727
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2024
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Coastal Carolina Family Practice Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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