OMEGA PHYSICIAN PRACTICE LLC
NPI 1013658467
Anesthesiology in Kennesaw, GA

Active since April 07, 2022
1300 RIDENOUR BLVD NW, KENNESAW, GA 30152(770) 702-1806 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omega Physician Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMEGA PHYSICIAN PRACTICE LLC (NPI 1013658467) is a healthcare organization registered as an anesthesiology in Kennesaw, Georgia and active in the NPI registry since April 2022. The organization lists Rudolph Davis, Anesthesiologist, as its authorized official.

NPPES Registry Identity

NPI1013658467
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameOMEGA PHYSICIAN PRACTICE LLC
Location Address1300 RIDENOUR BLVD NWKennesaw, GA 30152-4501
Mailing Address3927 Concord Walk Dr SeSmyrna, GA 30082-3659 · (205) 317-8437
Organization SubpartNo
Authorized OfficialRudolph DavisAnesthesiologist · (205) 317-8437
Enumeration DateApril 7, 2022
NPPES CertifiedApril 7, 2022
NPI 1013658467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1300 RIDENOUR BLVD NW, Kennesaw, GA 30152

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1300 RIDENOUR BLVD NW
KENNESAW, GA 30152
Clinic/Center (Rehabilitation)
1300 RIDENOUR BLVD NW
KENNESAW, GA 30152
Integrative Medicine
1300 RIDENOUR BLVD NW, SUITE #100
CANISTEL, GA 30152
Counselor (Mental Health)
1300 RIDENOUR BLVD NW
KENNESAW, GA 30152
Anesthesiology
1300 RIDENOUR BLVD NW, MAK ANESTHESIA
KENNESAW, GA 30152
Psychologist (Counseling)
1300 RIDENOUR BLVD NW
KENNESAW, GA 30152
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW
KENNESAW, GA 30152
Non-emergency Medical Transport (VAN)
1300 RIDENOUR BLVD NW
KENNESAW, GA 30152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omega Physician Practice LLC's NPI number?

The NPI number for Omega Physician Practice LLC is 1013658467. It was assigned to this organization in the NPPES registry on April 7, 2022.

Where is Omega Physician Practice LLC located?

Omega Physician Practice LLC is located at 1300 Ridenour Blvd NW, Kennesaw, GA 30152. The listed phone number is (770) 702-1806.

What is Omega Physician Practice LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

When was this NPI record last updated?

The NPPES record for Omega Physician Practice LLC was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.