Individual provider Active NPI

Timothy Shawn Odell, PA-C

  • Physician Assistant
  • Hendersonville, NC
National Provider Identifier
1104890870
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1014895 Issued in NC
Practice address
One Health Park Drive
Hendersonville, NC 28792
Phone
(828) 274-7367
Fax
(828) 998-9056
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X A777NS SC
Physician Assistant 363A00000X 1014895 NC Primary

Addresses

Primary practice location

One Health Park Drive
Hendersonville, NC 28792

Mailing address

PO Box 1869
Fletcher, NC 28732-1869

Other practice location 1

1075 Boiling Springs Rd
Spartanburg, SC 29303-2248
Phone (864) 583-7265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111130000801 SC Practitioner - Physician Assistant 2567636582 Reassigns benefits to 1 organization
I20241223002802 NC Practitioner - Physician Assistant 2567636582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians

Practice addresses (Care Compare)

106 Henderson Crossing PLZ
Hendersonville, NC 28792-2879
Phone (828) 274-7367

15 Turtle Creek Dr
Asheville, NC 28803-3152
Phone (828) 684-2610

21 Turtle Creek Dr
Asheville, NC 28803-3152
Phone (828) 274-4555

23 Turtle Creek Dr
Asheville, NC 28803-3152
Phone (828) 274-7367

80 Doctors Dr
Hendersonville, NC 28792-7289

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.05 of 100Reported as group
Quality
68.98
Promoting interoperability
93
Improvement activities
40
Cost
67.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1014895NCMDPhysician Assistant
A777NSSCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc CurrentSince Dec 1, 2024 Accepting new patients
Carolina Orthopaedic and Neurosurgical Associates CurrentSince Jan 1, 2017 Accepting new patients
Carolina Orthopaedic and Neurosurgical Associates Surgical CurrentSince Jan 1, 2017 Accepting new patients
Fletcher Hospital Inc CurrentSince Dec 1, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince Nov 15, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince Nov 15, 2024 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Locations

23 Turtle Creek Dr
Asheville, NC 28803
Phone (828) 274-2188

210 S Broad St
Brevard, NC 28712
Phone (828) 209-5335

600 Hospital Dr
Ste 2
Clyde, NC 28721
Phone (828) 274-7367

89 W Mills St
#A
Columbus, NC 28722
Phone (828) 702-6748

106 Henderson Crossing Plz
Hendersonville, NC 28792
Phone (828) 274-7367

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

35 Valley View Ter
Waynesville, NC 28786
Phone (828) 454-9816

1075 Boiling Springs Rd
Spartanburg, SC 29303
Phone (864) 580-2001

1330 Boiling Springs Rd
Ste 1600
Spartanburg, SC 29303
Phone (864) 582-6396

Interoperability endpoints

  • Direct secure messaging: timothy.odell.pac.1@26879.direct.athenahealth.com
  • Direct secure messaging: todell4416449@adventhealth.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1104890870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HEALTH PARK DRIVE",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28792",
            "telephone_number": "828-274-7367",
            "fax_number": "828-998-9056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Boiling Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293032248",
            "country_code": "US",
            "telephone_number": "864-583-7265",
            "fax_number": "864-591-0422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODELL",
        "first_name": "TIMOTHY",
        "middle_name": "SHAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "A777NS",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "1014895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.