Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Courtney Chavis Odom, FNP-C

Individual provider Registered Nurse · NPI 1962095612

Mrs. Courtney Chavis Odom, FNP-C is a Nurse Practitioner in Mc Coll, South Carolina. Qualified in 2021, 5 years ago. Practices with Caresouth Carolina Inc, a 66-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
5
Licensed in
NC, SC
In the registry since
2021
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

3080 Highway 15-401 E
Mc Coll, SC 29570-6128
Phone: (843) 523-5751
Fax: (843) 523-6040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25309 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 225769 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5015042 (NC)

Record details

NPI number1962095612
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2021
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Caresouth Carolina Inc. — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare