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

Q: 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.

Q: What is Odetta Smiley's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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 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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.