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

Dr. Marty Wayne Odom, MD

Individual provider Internal Medicine Physician · NPI 1265520662

Dr. Marty Wayne Odom, MD is an Internal Medicine in Clarksville, Tennessee. Graduated from University of Kentucky College of Medicine in 1999, 27 years ago. Practices with Pinelake Physician Practice LLC, a 47-clinician group and accepts Medicare assignment. Licensed in Florida and Tennessee.

Years since qualifying
27
Trained at
University of Kentucky College of Medicine
Licensed in
FL, TN
In the registry since
2006
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

490 Dunlop Ln
Clarksville, TN 37040-5007
Phone: (931) 245-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 75415 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME82596 (FL)

Record details

NPI number1265520662
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Pinelake Physician Practice Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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