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

Dianna Odom, PA-C

Individual provider Physician Assistant · NPI 1104417021

Dianna Odom, PA-C is a Physician Assistant in North Little Rock, Arkansas. Graduated from University of Arkansas College of Medicine in 2020, 6 years ago. Practices with Oak Street Health Physicians Group of Arkansas PLLC, a 9-clinician group and works from 3 locations. Licensed in Arkansas.

Years since qualifying
6
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2933 Lakewood Village Dr
North Little Rock, AR 72116-8033
Phone: (501) 435-1417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3140 Ar-5, Bryant, AR 72019 — (501) 213-4500
  • 1808 W Main St, Russellville, AR 72801-2724 — (479) 968-2841

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (AR)

Record details

NPI number1104417021
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 2, 2021
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Oak Street Health Physicians Group Of Arkansas Pllc — 9 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in North Little Rock