OASIS PRIMARY CARE CLINIC
NPI 1376050773
Nurse Practitioner - Primary Care in Douglasville, GA
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 holds a CLIA Waiver certificate valid through February 5, 2028 and lists Zebulon Foreman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
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 11D2143812
Oasis Primary Care Clinic · Douglasville, GAFrequently 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.
Does Oasis Primary Care Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2143812) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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.
# Oasis Primary Care Clinic · NPI 1376050773
Primary Care organization in Douglasville, Georgia. Organization record, active in the CMS NPPES registry since January 8, 2018.
## Identity
- **NPI:** 1376050773 (Entity type: Organization)
- **Enumerated:** January 8, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Zebulon Foreman, OWNER
## Practice location
- **Address:** 6194 STANLEY DR, Douglasville, GA 30134-3704
- **Phone:** (770) 757-3481
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376050773) · Data from the CMS NPPES public registry.