DR. ODETTA SMILEY (PSYD, LPC, CCMHC,MAC) – Professional Counselor, NPI 1194082818
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,200 MENTAL HEALTH COUNSELOR in GA
Provider Addresses for DR. ODETTA SMILEY (PSYD, LPC, CCMHC,MAC)
2052 Watson Blvd
Warner Robins, GA 310933625
Phone: (478) 227-2419
Fax: (844) 904-0927
Type: Location
8400 ABERCORN ST
SAVANNAH, GA 314063425
Phone: (912) 785-2100
Type: Location
20 JOSHUA CIR
ELLABELL, GA 313087301
Phone: (912) 655-1811
Fax: (844) 904-0927
Type: Mailing
185 RICHARD DAVIS DR STE 102
RICHMOND HILL, GA 313243978
Phone: (912) 304-3051
Fax: (844) 904-0927
Type: Location
508 N MAIN ST STE A
HINESVILLE, GA 313132570
Phone:
Fax: (844) 848-5854
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250217002553 | I | Mental Health Counselor | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31093)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | GA |
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