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

Mrs. Carla Odom

Individual provider Family Nurse Practitioner · NPI 1043827900

Mrs. Carla Odom is a Nurse Practitioner in Kokomo, Mississippi. Qualified in 2020, 6 years ago. Practices with Blackwells Family Medicine LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020

Practice location Address checks out

963 Taylor Rd
Kokomo, MS 39643-4967
Phone: (601) 303-0050
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904705 (MS)

Record details

NPI number1043827900
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2020
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Blackwells Family Medicine Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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