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MR. ODIE C PAULEY III APRN
NPI 1235822495
Nurse Practitioner - Family in Panama City, FL

Active since June 01, 2023PECOS Enrolled
2100 HARRISON AVE, PANAMA CITY, FL 32405(850) 260-6566 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Odie C Pauley Iii Aprn NPPES

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

MR. ODIE C PAULEY III APRN (NPI 1235822495) is an individual family provider in Panama City, Florida, licensed in Florida (11026660) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235822495
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ODIE C PAULEY IIICredential: APRN
Location Address2100 HARRISON AVEPanama City, FL 32405-4546
Mailing Address1076 Ten Mile RdBonifay, FL 32425-3577 · (850) 260-6566
Phone(850) 260-6566
Sole ProprietorNo
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1235822495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11026660
2100 HARRISON AVE, Panama City, FL 32405
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Odie C Pauley Iii Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Odie Pauley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caremed Clinic LLC
48 mi
Internal Medicine
4719 HIGHWAY 90
Marianna, FL 32446
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1134774623 (850) 526-3314
Caremed Urgent Care LLC
48 mi
Urgent Care
4719 HIGHWAY 90
Marianna, FL 32446
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
NPI 1548902984 (850) 526-3314

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

MRS. JESSICA NICOLE GRAHAM NP
Nurse Practitioner (Family)
2100 HARRISON AVE
PANAMA CITY, FL 32405
Bay County (850) 851-8555
BIO-MEDICAL APPLICATIONS OF FLORIDA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2100 HARRISON AVE
PANAMA CITY, FL 32405
Bay County (850) 522-5407

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 Odie Pauley's NPI number?

The NPI number for Odie Pauley is 1235822495. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Odie Pauley located?

Odie Pauley practices at 2100 Harrison Ave, Panama City, FL 32405. The listed phone number is (850) 260-6566.

What is Odie Pauley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Odie Pauley enrolled in Medicare?

Yes. Odie Pauley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Odie Pauley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Odie Pauley reassigns Medicare benefits to 2 organizations: Caremed Clinic LLC (Marianna, FL) and Caremed Urgent Care LLC (Marianna, FL). 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 Odie Pauley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Odie Pauley accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Odie Pauley 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 Odie Pauley was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.