MRS. COURTNEY CHAVIS ODOM FNP-C
NPI 1962095612
Nurse Practitioner - Family in Mc Coll, SC
About Mrs. Courtney Chavis Odom Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. COURTNEY CHAVIS ODOM FNP-C (NPI 1962095612) is an individual family provider in Mc Coll, South Carolina, licensed in South Carolina (25309) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
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
Mrs. Courtney Chavis Odom Fnp-c 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 Courtney Odom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mc Coll, SC 29570
- Reassigned Medicare billing, South Carolina enrollment
- 95 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 2
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.
Scotland Memorial Hospital
Acute Care Hospitals · Laurinburg, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29570 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MC COLL, SC 29570
MC COLL, SC 29570
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 Courtney Odom's NPI number?
The NPI number for Courtney Odom is 1962095612. It was assigned to this individual provider in the NPPES registry on February 13, 2021.
Where is Courtney Odom located?
Courtney Odom practices at 3080 Highway 15-401 E, Mc Coll, SC 29570. The listed phone number is (843) 523-5751.
What is Courtney Odom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Courtney Odom enrolled in Medicare?
Yes. Courtney 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 Courtney Odom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Odom reassigns Medicare benefits to Caresouth Carolina, Inc. (Mc Coll, SC). 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 Courtney Odom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Odom accept?
Health plans from BlueCross BlueShield of South Carolina, InStil Health and UnitedHealthcare list Courtney Odom 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.
Is Courtney Odom affiliated with any hospitals?
According to CMS data, Courtney Odom is affiliated with Scotland Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Courtney Odom was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Mrs. Courtney Chavis Odom, FNP-C · NPI 1962095612
Family physician in Mc Coll, South Carolina. Individual provider, active in the CMS NPPES registry since February 13, 2021.
## Identity
- **NPI:** 1962095612 (Entity type: Individual)
- **Enumerated:** February 13, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 25309 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3080 HIGHWAY 15-401 E, Mc Coll, SC 29570-6128
- **Phone:** (843) 523-5751 · **Fax:** (843) 523-6040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Caresouth Carolina, Inc. (NPI 1811930076, Mc Coll, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 27, 2025
- **Other identifiers:** Medicaid NP8401 (SC); Other SCM901 (SC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1962095612) · Data from the CMS NPPES public registry.