DR. RAYMOND J OTIS SR. M.D.
NPI 1104844422
Family Medicine in Camilla, GA

Q: What is Raymond Otis's NPI number?

The NPI number for Raymond Otis is 1104844422. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Raymond Otis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Otis was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2006PECOS EnrolledCLIA 11D0922663 · Waiver

24 N ELLIS ST, CAMILLA, GA 31730(229) 336-7343(229) 336-7400 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Raymond J Otis Sr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAYMOND J OTIS SR. M.D. (NPI 1104844422) is an individual family medicine provider in Camilla, Georgia, licensed in Georgia (042685) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 24, 2028, and is affiliated with Bacon County Hospital.

NPPES Registry Identity

NPI1104844422

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RAYMOND J OTIS SR.Credential: M.D.

Location Address24 N ELLIS STCamilla, GA 31730-1502

Mailing AddressPo Box 348, 24 North Ellis StreetCamilla, GA 31730-0348 · (229) 336-7343 · Fax (229) 336-7400

Phone(229) 336-7343

Fax(229) 336-7400

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateJuly 17, 2006

Last NPPES UpdateMay 21, 2024

NPPES CertifiedMay 21, 2024

✔ NPI 1104844422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 042685

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

24 N ELLIS ST, Camilla, GA 31730

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raymond J Otis Sr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608771852

PECOS Enrollment IDI20031205000149

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0922663

Raymond J Otis Senior PC · Camilla, GA

Active · expires Mar 24, 2028

CLIA Number11D0922663

Laboratory TypePhysician Office

Certificate Effective DateMarch 25, 2026

Certificate Expiration DateMarch 24, 2028

Laboratory DirectorSr. Raymond J. Otis

Laboratory Phone(229) 336-7343

Laboratory LocationRaymond J Otis Senior PC24 North Ellis Street, Camilla, GA 31730

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

84 services79 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

58 services55 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bacon County Hospital

Critical Access Hospitals · Alma, GA

OwnershipVoluntary non-profit - Other

CMS Certification Number111327

Location302 South Wayne StreetAlma, GA 31510 · Bacon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR RAYMOND J OTIS SR PC

Clinic/Center (Primary Care)

24 N ELLIS ST
CAMILLA, GA 31730

Mitchell County (229) 336-7343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymond Otis's NPI number?

The NPI number for Raymond Otis is 1104844422. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Raymond Otis located?

Raymond Otis practices at 24 N Ellis St, Camilla, GA 31730. The listed phone number is (229) 336-7343.

What is Raymond Otis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raymond Otis enrolled in Medicare?

Yes. Raymond Otis is registered in the Medicare PECOS enrollment system.

Does Raymond Otis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0922663) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Raymond Otis affiliated with any hospitals?

According to CMS data, Raymond Otis is affiliated with Bacon County Hospital.

When was this NPI record last updated?

The NPPES record for Raymond Otis was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.