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ROYCEANNE FAIRCHILD ODOM FNP NPI 1316465867


NPI Information

NPI: 1316465867
Provider Name: ROYCEANNE FAIRCHILD ODOM, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401
Phone: (601) 579-5430
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Royceanne Fairchild Odom, FNP is a family nurse practitioner in Hattiesburg, MS with 7 years of experience. Royceanne Fairchild Odom, FNP NPI is 1316465867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401-246
Phone: (601) 579-5430
Fax: (601) 268-5819

The NPI 1316465867 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Testing for presence of drug (HCPCS:80305)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 9/5/2017 and was last updated on 7/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner903599MISSISSIPPINo
2363LF0000XNurse PractitionerFamily0000853-C-NPCOLORADONo
3363LF0000XNurse PractitionerFamily903599MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102779360MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.