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

Carver Odom Montgomery, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265136105

Carver Odom Montgomery, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2023.

Licensed in
MS
In the registry since
2023
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

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence T-5149 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265136105
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

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