Individual provider · Type 1 NPI

Madison Dawn Odom, PA-C

Physician Assistant · Kennesaw, GA

NPI number 1851949416 Active

Practice location

2985 Mack Dobbs Rd NW
Kennesaw, GA 30152-2641

Fax (470) 251-6052

Mailing address

PO Box 746765
Atlanta, GA 30374-6765

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10775 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1851949416

Madison Dawn Odom, PA-C's National Provider Identifier is 1851949416, issued on Aug 27, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kennesaw, GA. The record was last updated on Aug 6, 2026.