Holly Kaylene Odom, FNP
NPI 1790392850ActiveIndividual· Nurse Practitioner· Hattiesburg, MS
Nurse Practitioner (FNP) with Hattiesburg Clinic PA and 1 other group, practicing in Hattiesburg, Mississippi. In 2024 Medicare paid $225,131 for 1,194 patients, and Part D covered 431 of their prescriptions, 89% of them generic. Lists Forrest General Hospital as a hospital affiliation.
Overview
| NPI | 1790392850 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Sep 23, 2020 |
| Last updated in NPPES | Sep 23, 2020 |
| Certified by provider | Sep 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 903803 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,194 |
|---|---|
| Services billed | 3,038 across 19 procedure codes |
| Paid by Medicare | $225,131 |
Part D prescriptions in 2024
| Prescriptions (claims) | 431 · 569 30-day fills |
|---|---|
| Patients | 165 |
| Total drug cost | $15,251 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Hattiesburg Clinic PAHattiesburg, MS · 537 clinicians
- Covington County HospitalMagee, MS · 43 clinicians
Hospital affiliation
- Forrest General HospitalHattiesburg, MS
Other facilities
- Forrest General Home CareHome health agency · Hattiesburg, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 80 nurse practitioners in Hattiesburg · All nurse practitioners in Mississippi