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

Edith Hollie Odom

Individual provider Family Nurse Practitioner · NPI 1023760626

Edith Hollie Odom is a Nurse Practitioner in Myrtle Beach, South Carolina. Qualified in 2021, 5 years ago. Practices with Family Medicine of Sayebrook LLC, a 5-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2022
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Practice location Address checks out

106 Lansford Pl # 100
Myrtle Beach, SC 29588-6979
Phone: (843) 293-8850
Fax: (843) 293-8860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25801 (SC)

Record details

NPI number1023760626
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Family Medicine Of Sayebrook Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Myrtle Beach