BENJAMIN ODOM CRNA
NPI 1639705767
Nurse Anesthetist, Certified Registered in Vestavia, AL
About Benjamin Odom Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN ODOM CRNA (NPI 1639705767) is an individual nurse anesthetist, certified registered in Vestavia, Alabama, licensed in Alabama (1-142308) and active in the NPI registry since March 2020. He is affiliated with Northeast Georgia Medical Center Habersham and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Benjamin Odom Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Odom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Demorest, GA 30535
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center Habersham
Acute Care Hospitals · Demorest, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VESTAVIA, AL 35243
VESTAVIA, AL 35243
VESTAVIA, AL 35243
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 Benjamin Odom's NPI number?
The NPI number for Benjamin Odom is 1639705767. It was assigned to this individual provider in the NPPES registry on March 20, 2020.
Where is Benjamin Odom located?
Benjamin Odom practices at 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243. The listed phone number is (205) 977-1949.
What is Benjamin Odom's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Benjamin Odom enrolled in Medicare?
Yes. Benjamin Odom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Benjamin Odom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Odom reassigns Medicare benefits to Total Care Anesthesia Partners LLC (Demorest, GA). The 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 Benjamin Odom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Benjamin Odom affiliated with any hospitals?
According to CMS data, Benjamin Odom is affiliated with Northeast Georgia Medical Center Habersham.
When was this NPI record last updated?
The NPPES record for Benjamin Odom was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Benjamin Odom, CRNA · NPI 1639705767
Nurse Anesthetist, Certified Registered physician in Vestavia, Alabama. Individual provider, active in the CMS NPPES registry since March 20, 2020.
## Identity
- **NPI:** 1639705767 (Entity type: Individual)
- **Enumerated:** March 20, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 1-142308 (Alabama)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3104 BLUE LAKE DR STE 110, Vestavia, AL 35243-2372
- **Phone:** (205) 977-1949 · **Fax:** (205) 977-1933
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Total Care Anesthesia Partners LLC (NPI 1962985168, Demorest, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1639705767) · Data from the CMS NPPES public registry.