OMS PRIMARY CARE INC NPI 1063123933

NPI Information

  • NPI: 1063123933
  • Provider Name: OMS PRIMARY CARE INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D2273249
  • Address: 2145 ROSWELL RD STE 60
    MARIETTA, GA
    ZIP 30062
  • Phone: (770) 672-6267

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NPI Details

OMS PRIMARY CARE INC is a family medicine in Marietta, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OMS PRIMARY CARE INC NPI is 1063123933. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2145 ROSWELL RD STE 60
MARIETTA, GA
ZIP 30062-819
Phone: (770) 672-6267
Fax: (770) 485-8665

The provider's authorized official is Omokhuale Omokhodion .
The authorized official title is Owner and has the following contact phone number (770) 672-6267.

The CLIA number assigned to this NPI record is 11D2273249 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2022 and was last updated on 12/12/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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: 3/30/2025

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