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

Nkenna Odom, MD

Individual provider Family Medicine Physician · NPI 1972098465

Nkenna Odom, MD is a Family Practice in Providence, Rhode Island. Qualified in 2018, 8 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
8
Licensed in
RI
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1195 N Main Street Cnemg Primary Care Wmc
Providence, RI 02904-0288
Phone: (401) 736-4562
Fax: (401) 921-9864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD17589 (RI)

Record details

NPI number1972098465
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 14, 2025
Mailing address455 Toll Gate Rd, Prc And Credentialing, Warwick, RI 02886-2759

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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