OASIS PRIMARY CARE CLINIC NPI 1376050773

NPI Information

  • NPI: 1376050773
  • Provider Name: OASIS PRIMARY CARE CLINIC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Other Name: OASIS PRIMARY CARE CLINIC
  • CLIA Number: 11D2143812
  • Address: 6194 STANLEY DR
    DOUGLASVILLE, GA
    ZIP 30134
  • Phone: (770) 757-3481

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NPI Details

OASIS PRIMARY CARE CLINIC is a primary care nurse practitioner in Douglasville, GA. OASIS PRIMARY CARE CLINIC NPI is 1376050773. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Oasis Primary Care Clinic.

The provider's business location address is:

6194 STANLEY DR
DOUGLASVILLE, GA
ZIP 30134-704
Phone: (770) 757-3481

The provider's authorized official is Zebulon Foreman .
The authorized official title is Owner and has the following contact phone number (770) 757-3481.

The CLIA number assigned to this NPI record is 11D2143812 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2018 and was last updated on 1/8/2018.

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
1363LP2300XNurse PractitionerPrimary CareRN208570GEORGIAYes

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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