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HOLLY KAYLENE ODOM FNP
NPI 1790392850
Nurse Practitioner in Hattiesburg, MS

Active since September 23, 2020PECOS EnrolledAccepts Medicare Assignment
5909 U S HIGHWAY 49 STE 20, HATTIESBURG, MS 39402(601) 296-2800(601) 296-2802 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Kaylene Odom Fnp NPPES

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

HOLLY KAYLENE ODOM FNP (NPI 1790392850) is an individual nurse practitioner in Hattiesburg, Mississippi, licensed in Mississippi (903803) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790392850
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHOLLY KAYLENE ODOMCredential: FNP
Location Address5909 U S HIGHWAY 49 STE 20Hattiesburg, MS 39402-2860
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 296-2800 · Fax (601) 579-5240
Phone(601) 296-2800
Fax(601) 296-2802
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1790392850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 903803
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5909 U S HIGHWAY 49 STE 20, Hattiesburg, MS 39402
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly Kaylene Odom Fnp 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.

PECOS PAC ID4082033626
PECOS Enrollment IDI20200930002077
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.

Areas of Expertise CMS Part B claims 6

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
847 services840 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
812 services805 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
244 services132 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
107 services100 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
53 services32 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$6.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HATTIESBURG CLINIC, PA
Internal Medicine (Nephrology)
5909 U S HIGHWAY 49 STE 20
HATTIESBURG, MS 39402
Lamar County (601) 268-5700
KRISTINA MOLNAR FNP
Nurse Practitioner
5909 U S HIGHWAY 49 STE 20
HATTIESBURG, MS 39402
Lamar County (601) 261-1533

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 Holly Odom's NPI number?

The NPI number for Holly Odom is 1790392850. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Holly Odom located?

Holly Odom practices at 5909 U S Highway 49 Ste 20, Hattiesburg, MS 39402. The listed phone number is (601) 296-2800.

What is Holly Odom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Holly Odom enrolled in Medicare?

Yes. Holly 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.

Is Holly Odom affiliated with any hospitals?

According to CMS data, Holly Odom is affiliated with Forrest General Hospital.

When was this NPI record last updated?

The NPPES record for Holly Odom was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.