Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIO ANTWAN OWENS NP
NPI 1174097448
Nurse Practitioner - Family in Union City, GA

Active since January 19, 2019
4150 SERENE WAY, UNION CITY, GA 30291(678) 215-9947 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Jan 19, 2019 (2 updates tracked since 2019).

About Mario Antwan Owens Np NPPES

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

MARIO ANTWAN OWENS NP (NPI 1174097448) is an individual family provider in Union City, Georgia, licensed in Georgia (F01190896) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1174097448
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARIO ANTWAN OWENSCredential: NP
Location Address4150 SERENE WAYUnion City, GA 30291-5153
Mailing Address4150 Serene WayUnion City, GA 30291-5153 · (678) 215-9947
Sole ProprietorYes
Enumeration DateJanuary 19, 2019
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1174097448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · F01190896
4150 SERENE WAY, Union City, GA 30291

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 Mario Owens's NPI number?

The NPI number for Mario Owens is 1174097448. It was assigned to this individual provider in the NPPES registry on January 19, 2019.

Where is Mario Owens located?

Mario Owens practices at 4150 Serene Way, Union City, GA 30291. The listed phone number is (678) 215-9947.

What is Mario Owens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mario Owens was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.