Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jonathan Larry Odom

Individual provider Physician Assistant · NPI 1497619282

Jonathan Larry Odom is a Physician Assistant in Norfolk, Virginia. Practices as a sole proprietor and works from 5 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2025
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Practice location Address checks out

301 Riverview Ave Ste 202A
Norfolk, VA 23510-1065
Phone: (757) 252-9140
Fax: (757) 793-4149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 7650 Cameron Ct, Mobile, AL 36695-4463 — (251) 422-7199
  • 4000 Coliseum Dr Ste 200a, Hampton, VA 23666-5975 — (757) 736-1520
  • 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502-2800 — (757) 252-9140
  • 1080 First Colonial Rd Ste 400, Virginia Beach, VA 23454-2406 — (757) 395-8720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110012239 (VA)

Record details

NPI number1497619282
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 15, 2025
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026

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