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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Raymond Otis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr Raymond J Otis Sr PC
Same address
Primary Care
24 N ELLIS ST
Camilla, GA 31730
  • Reassigned Medicare billing, Georgia enrollment
NPI 1649449323 (229) 336-7343
Hospital Authority Of The City Of Bainbridge And Decatur County
31 mi
Multi-Specialty
1500 E SHOTWELL ST
Bainbridge, GA 39819
  • Reassigned Medicare billing, Georgia enrollment
  • 44 clinicians in this Medicare group
NPI 1053388256 (229) 246-3500
Clinch County Hospital Authority
86 mi
Critical Access
1050 VALDOSTA HWY
Homerville, GA 31634
  • Reassigned Medicare billing, Georgia enrollment
  • 96 clinicians in this Medicare group
NPI 1861478851 (912) 487-5211
Erx Group, LLC
105 mi
Emergency Medicine
302 S WAYNE ST
Alma, GA 31510
  • Reassigned Medicare billing, Georgia enrollment
  • 33 clinicians in this Medicare group
NPI 1760823082 (865) 777-1300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Raymond Otis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Otis reassigns Medicare benefits to 4 organizations: Dr Raymond J Otis Sr PC (Camilla, GA), Hospital Authority Of The City Of Bainbridge And Decatur County (Bainbridge, GA), Clinch County Hospital Authority (Homerville, GA) and Erx Group, LLC (Alma, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raymond Otis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.