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OMS PRIMARY CARE INC
NPI 1063123933
Family Medicine in Marietta, GA

Active since December 12, 2022CLIA 11D2273249 · Waiver
2145 ROSWELL RD STE 60, MARIETTA, GA 30062(770) 672-6267(770) 485-8665 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Oms Primary Care Inc NPPES

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

OMS PRIMARY CARE INC (NPI 1063123933) is a healthcare organization registered as a family medicine in Marietta, Georgia and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Omokhuale Omokhodion, Owner, as its authorized official.

NPPES Registry Identity

NPI1063123933
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOMS PRIMARY CARE INC
Location Address2145 ROSWELL RD STE 60Marietta, GA 30062-0819
Mailing Address2145 Roswell Rd Ste 60Marietta, GA 30062-0819 · (770) 672-6267 · Fax (770) 485-8665
Phone(770) 672-6267
Fax(770) 485-8665
Organization SubpartNo
Authorized OfficialOmokhuale OmokhodionOwner · (770) 672-6267
Enumeration DateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
✔ NPI 1063123933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
2145 ROSWELL RD STE 60, Marietta, GA 30062
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oms Primary Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oms Primary Care Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Omokhuale Omokhodion, M.D
Family Practice
NPI 1861620981
2145 ROSWELL RD STE 60
Marietta, GA 30062
(770) 672-6267
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2273249

Oms Primary Care Inc · Marietta, GA
Active · expires Dec 8, 2026
CLIA Number11D2273249
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorOmokhuale Omokhodion
Laboratory Phone(770) 672-6267
Laboratory LocationOms Primary Care Inc2145 Roswell Road, Suite 60, Marietta, GA 30062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Oms Primary Care Inc's NPI number?

The NPI number for Oms Primary Care Inc is 1063123933. It was assigned to this organization in the NPPES registry on December 12, 2022.

Where is Oms Primary Care Inc located?

Oms Primary Care Inc is located at 2145 Roswell Rd Ste 60, Marietta, GA 30062. The listed phone number is (770) 672-6267.

What is Oms Primary Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Oms Primary Care Inc enrolled in Medicare?

Yes. Oms Primary Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oms Primary Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Oms Primary Care Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Oms Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2273249) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oms Primary Care Inc was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.