MRS. ANGELA MARIE ODOM (FNP-C) – Family Nurse Practitioner, NPI 1740567643

MRS. ANGELA MARIE ODOM (FNP-C) is a healthcare provider. based in Rincon, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN149476 (GA). The NPI Number for MRS. ANGELA MARIE ODOM (FNP-C) is 1740567643

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANGELA MARIE ODOM (FNP-C)
NPI
1740567643
Phone
(912) 295-5860
Address
5621 HWY 21 S
Enumeration Date
7 November 2011
Last Update Date
3 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9129102720
Graduation Year
2010 (16 years ago)
PAC ID
6305077876
Group Practice PAC ID
5092058016
Professional Enrollment ID
I20200806000615
Address ID
GA313246863RI3866XRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MRS. ANGELA MARIE ODOM (FNP-C)

  • 5621 HWY 21 S

    RINCON, GA 313269416

    Phone: (912) 295-5860

    Fax: (912) 295-6033

    Type: Mailing

  • 5621 HWY 21 S # NA

    RINCON, GA 313269416

    Phone: (912) 441-1588

    Fax: (912) 295-6033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: COLOPLAST CORP ($123).

Total Amount

$123

General + Research + Ownership

Payments

1

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
COLOPLAST CORP$123
View all Open Payments →|Open Payments Risk Radar →

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: 2020-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170320000220INurse PractitionerSCTBD
I20200806000615INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes389351$0
J1100Injection, dexamethasone sodium phosphate, 1 mg27026$0
99203New patient office or other outpatient visit, 30-44 minutes233233$0
99214Established patient office or other outpatient visit, 30-39 minutes218192$0
99204New patient office or other outpatient visit, 45-59 minutes186186$0
View full utilization report →

Insurance plans in this area (ZIP 31326)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092058016View full group profile

Reviews

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Frequently asked questions

Does MRS. ANGELA MARIE ODOM (FNP-C) have a public NPI I can cite?
Public records show MRS. ANGELA MARIE ODOM (FNP-C) under NPI 1740567643.
Is MRS. ANGELA MARIE ODOM (FNP-C)'s NPI status active today?
Active status means MRS. ANGELA MARIE ODOM (FNP-C)'s NPI record is not deactivated in the public file.
How should patients interpret MRS. ANGELA MARIE ODOM (FNP-C)'s specialty?
The extract shows Family Nurse Practitioner for MRS. ANGELA MARIE ODOM (FNP-C). Clinical services aligned with this taxonomy classification.
Can patients visit MRS. ANGELA MARIE ODOM (FNP-C) in Rincon, Georgia?
For routing, start with Rincon, Georgia for MRS. ANGELA MARIE ODOM (FNP-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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