Florala Medical Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FLORALA MEDICAL ASSOCIATES, LLC

Practice address

24245 5TH Ave
Florala, AL 36442-3523

Phone

(334) 858-1171

Fax

(334) 858-1184

NPI assigned

Mar 29, 2025

Last updated

Nov 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Odom, CRNPNPI 1104332527

Title

Owner/Nurse Practitioner

Phone

(334) 858-1171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Odom, CRNP

  • Nurse Practitioner
  • Opp, AL
  • NPI 1104332527
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1104629740",
    "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": "334-858-1171",
            "fax_number": "334-858-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24245 5TH AVE",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364423523",
            "telephone_number": "334-858-1171",
            "fax_number": "334-858-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORALA MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "334-858-1171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Hospital of Andalusia, Inc. (The Florala Health Clinic)
• Cynthia Star Crawford
• Florala Family Care LLC
• Florala Family Dental Care
• Florala Health and Rehabilitation, LLC
• Florala Pharmacy Inc
• Florala Rescue Squad, Inc.
• Jessica Renee Fowler, RPH
• Frank Daniel (navarre beach phys therpy)
• Michael Wayne Frye, PHARM.D.

• Family Medicine Physician in Florala, AL
• Providers in Florala, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.
• 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.