Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madison Dawn Odom, PA-C

Individual provider Physician Assistant · NPI 1851949416

Madison Dawn Odom, PA-C is a Physician Assistant in Kennesaw, Georgia. Qualified in 2021, 5 years ago. Practices with Aylo Health, LLC, a 112-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2019
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

2985 Mack Dobbs Rd NW
Kennesaw, GA 30152-2641
Phone: (770) 268-4011
Fax: (470) 251-6052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10775 (GA)

Record details

NPI number1851949416
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 27, 2019
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aylo Health, Llc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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