OMNIA MEDICAL GROUP LLC NPI 1073212627

NPI Information

  • NPI: 1073212627
  • Provider Name: OMNIA MEDICAL GROUP LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 36D2283205
  • Address: 65 HIGHVIEW BLVD STE 101A
    COLUMBUS, OH
    ZIP 43207
  • Phone: (614) 587-7778

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NPI Details

OMNIA MEDICAL GROUP LLC is a family medicine in Columbus, OH. 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. OMNIA MEDICAL GROUP LLC NPI is 1073212627. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

65 HIGHVIEW BLVD STE 101A
COLUMBUS, OH
ZIP 43207-065
Phone: (614) 587-7778
Fax: (740) 212-8808

The provider's authorized official is Ashley Renee Brannan .
The authorized official title is Ceo/family Nurse Practitioner and has the following contact phone number (614) 587-7778.

The CLIA number assigned to this NPI record is 36D2283205 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2023 and was last updated on 1/2/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
3207Q00000XFamily MedicineYes
4207QA0401XFamily MedicineAddiction MedicineNo
5207QA0505XFamily MedicineAdult MedicineNo
6261QM1300XClinic/CenterMulti-SpecialtyNo
7261QP2300XClinic/CenterPrimary CareNo
8261QR1100XClinic/CenterResearchNo
9363L00000XNurse PractitionerNo
10363LF0000XNurse PractitionerFamilyNo
11363LP2300XNurse PractitionerPrimary CareNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10308873MEDICAIDOHIO

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: 11/21/2025

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