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DR. ODETTA SMILEY PSYD, LPC, CCMHC,MAC
NPI 1194082818
Counselor - Professional in Richmond Hill, GA

Active since April 19, 2012PECOS Enrolled
185 RICHARD DAVIS DR STE 102, RICHMOND HILL, GA 31324(912) 304-3051(844) 904-0927 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2021, Jul 31, 2020, Sep 9, 2018 (3 updates tracked since 2018).

About Dr. Odetta Smiley Psyd, Lpc, Ccmhc,mac NPPES

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

DR. ODETTA SMILEY PSYD, LPC, CCMHC,MAC (NPI 1194082818) is an individual professional provider in Richmond Hill, Georgia, licensed in Georgia (LPC004492) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warner Robins, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194082818
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. ODETTA SMILEYCredential: PSYD, LPC, CCMHC,MAC
Location Address185 RICHARD DAVIS DR STE 102Richmond Hill, GA 31324-3978
Mailing Address20 Joshua CirEllabell, GA 31308-7301 · (912) 655-1811 · Fax (844) 904-0927
Phone(912) 304-3051
Fax(844) 904-0927
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 19, 2012
Last NPPES UpdateJanuary 26, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
✔ NPI 1194082818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC004492
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 507430
Also ListedPsychologistTaxonomy 103T00000X
185 RICHARD DAVIS DR STE 102, Richmond Hill, GA 31324
Open in Google Maps ↗

Secondary Practice Location 1

Location 12052 Watson BlvdWarner Robins, GA 31093-3625 · Phone (478) 227-2419 · Fax (844) 904-0927

Other Identifiers 3

Other1194082818GA · Npi
Medicaid003228219AGA
Other1659911063GA · Npi 2

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Odetta Smiley Psyd, Lpc, Ccmhc,mac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476956723
PECOS Enrollment IDI20250217002553
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

2

Medicare enrollment records show Odetta Smiley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Odetta Smiley, Psyd, Lpc, LLC.
Same address
Professional
185 RICHARD DAVIS DR STE 102
Richmond Hill, GA 31324
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1659911063 (912) 304-3051
Curtis Behavioral Health
145 mi
Psychiatric/Mental Health
2052 WATSON BLVD
Warner Robins, GA 31093
  • Reassigned Medicare billing, Georgia enrollment
  • 9 clinicians in this Medicare group
NPI 1942852512 (478) 207-7773

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

Other Providers at the Same Location NPPES 2

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

MR. ROBERT ANTHONY RICHARDSON PSY.D.
Psychologist (Clinical)
185 RICHARD DAVIS DR STE 102
RICHMOND HILL, GA 31324
Bryan County (912) 231-5487
ODETTA SMILEY, PSYD, LPC, LLC.
Counselor (Professional)
185 RICHARD DAVIS DR STE 102
RICHMOND HILL, GA 31324
Bryan County (912) 304-3051

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 Odetta Smiley's NPI number?

The NPI number for Odetta Smiley is 1194082818. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Where is Odetta Smiley located?

Odetta Smiley practices at 185 Richard Davis Dr Ste 102, Richmond Hill, GA 31324. The listed phone number is (912) 304-3051.

What is Odetta Smiley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Odetta Smiley enrolled in Medicare?

Yes. Odetta Smiley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Odetta Smiley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Odetta Smiley reassigns Medicare benefits to 2 organizations: Odetta Smiley, Psyd, Lpc, LLC. (Richmond Hill, GA) and Curtis Behavioral Health (Warner Robins, 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 Odetta Smiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Odetta Smiley accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Odetta Smiley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Odetta Smiley was last updated on January 26, 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.