Tracy Odom, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-111973 Issued in AL

Practice address

101 E Paulk Ave Ste a
Opp, AL 36467-1727

Phone

(334) 493-0311

Fax

(334) 493-0355

NPI assigned

Dec 21, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blissful Healthcare LLCGroup PAC ID 1951643956, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• LHC Homecare of South Alabama Home health agency, Opp, AL, CCN 017134
• Wiregrass Medical Center Hospital, Geneva, AL, CCN 011309
• Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007
• Andalusia Health Hospital, Andalusia, AL, CCN 010036

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracy.odom.1@18641.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18641/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blissful Healthcare LLC

  • Family Medicine Physician
  • Opp, AL
  • NPI 1417432030
  Medicare reassignment Care Compare group NPD
• Florala Medical Associates, LLC

  • Family Medicine Physician
  • Florala, AL
  • NPI 1104629740
  Medicare reassignment NPD Authorized official
• Mind Over Matter LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Opp, AL
  • NPI 1700402955
  NPD
• Warren Behavioral Care

  • Professional Counselor
  • Dothan, AL
  • NPI 1851762009
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of Andalusia LLC

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  Care Compare affiliation
• Geneva County Healthcare Authority, Inc.

  • Critical Access Hospital
  • Geneva, AL
  • NPI 1134955370
  Care Compare affiliation
• Mizell Memorial Hospital Homecare, LLC

  • Home Health Agency
  • Opp, AL
  • NPI 1033293352
  Care Compare affiliation
• Mizell Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Opp, AL
  • NPI 1013937705
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1104332527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364420342",
            "telephone_number": "334-809-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PAULK AVE STE A",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671727",
            "telephone_number": "334-493-0311",
            "fax_number": "334-493-0355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24245 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Florala",
            "state": "AL",
            "postal_code": "364423523",
            "country_code": "US",
            "telephone_number": "334-809-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "TRACY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AL",
            "license": "1-111973",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-111973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305045",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mizell Memorial Hospital, Inc.
• Kennith Scott Mount, PT
• Christion Musgrove
• Cara Elizabeth Norris
• Larry C Norris, P.A.
• Opp City
• Opp Family Medicine, P.C.
• Opp Health and Rehabilitation, LLC
• Opp Imaging Services LLC
• Opp Pharmacy, LLC

• Nurse Practitioner in Opp, AL
• Providers in Opp, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.