OMNI PRIMARY CARE PC NPI 1770945362

NPI Information

  • NPI: 1770945362
  • Provider Name: OMNI PRIMARY CARE, PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 11D2118667
  • Address: 750 HAMMOND DR
    BLDG 8 - 100
    ATLANTA, GA
    ZIP 30328
  • Phone: (404) 400-2255

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NPI Details

OMNI PRIMARY CARE, PC is a primary care clinic center in Atlanta, GA. OMNI PRIMARY CARE, PC NPI is 1770945362. The provider is registered as an organization entity type.

The provider's business location address is:

750 HAMMOND DR
BLDG 8 - 100
ATLANTA, GA
ZIP 30328-532
Phone: (404) 400-2255

The provider's authorized official is Vasundhara Cheekati .
The authorized official title is President and has the following contact phone number (404) 400-2255.

The CLIA number assigned to this NPI record is 11D2118667 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2016 and was last updated on 3/23/2016.

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
1261QP2300XClinic/CenterPrimary CareYes

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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