OASIS PRIMARY CARE CLINIC
NPI 1376050773
Nurse Practitioner - Primary Care in Douglasville, GA

Active since January 08, 2018
6194 STANLEY DR, DOUGLASVILLE, GA 30134(770) 757-3481 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Oasis Primary Care Clinic NPPES

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

OASIS PRIMARY CARE CLINIC (NPI 1376050773) is a healthcare organization registered as a primary care in Douglasville, Georgia and active in the NPI registry since January 2018. The organization lists Zebulon Foreman, Owner, as its authorized official.

NPPES Registry Identity

NPI1376050773
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameOASIS PRIMARY CARE CLINIC
Location Address6194 STANLEY DRDouglasville, GA 30134-3704
Mailing Address6194 Stanley DrDouglasville, GA 30134-3704 · (770) 757-3481
Organization SubpartNo
Authorized OfficialZebulon ForemanOwner · (770) 757-3481
Enumeration DateJanuary 8, 2018
✔ NPI 1376050773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · RN208570
6194 STANLEY DR, Douglasville, GA 30134

Other Names 1

Other NameOasis Primary Care Clinic

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 MULTIPLE SINGLE 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)

Oasis Primary Care Clinic 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 Oasis Primary Care Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1962938373
8309 OFFICE PARK DR
Douglasville, GA 30134
(770) 757-3481
✔ PECOS1.9 mi

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

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 Oasis Primary Care Clinic's NPI number?

The NPI number for Oasis Primary Care Clinic is 1376050773. It was assigned to this organization in the NPPES registry on January 8, 2018.

Where is Oasis Primary Care Clinic located?

Oasis Primary Care Clinic is located at 6194 Stanley Dr, Douglasville, GA 30134. The listed phone number is (770) 757-3481.

What is Oasis Primary Care Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Oasis Primary Care Clinic enrolled in Medicare?

Yes. Oasis Primary Care Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oasis Primary Care Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Oasis Primary Care Clinic. 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.

When was this NPI record last updated?

The NPPES record for Oasis Primary Care Clinic was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.