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

Jared Odom, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710636840

Jared Odom, DO is an Internal Medicine in Bristol, Tennessee. Qualified in 2022, 4 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1 Medical Park Blvd
Bristol, TN 37620-7453
Phone: (423) 844-1121
Show map & directions

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

Additional practice locations (1)

  • 1924 Alcoa Hwy # U-114, Knoxville, TN 37920-1511 — (865) 305-9340

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 6196 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710636840
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESJune 14, 2025
Certification dateJune 14, 2025
Mailing address1 Medical Park Blvd, Bristol, TN 37620-7430

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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