Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

OAK STREET HEALTH OF GEORGIA PC
NPI 1588258024
Clinic/Center - Primary Care in Stone Mountain, GA

Q: What is Oak Street Health Of Georgia PC's NPI number?

The NPI number for Oak Street Health Of Georgia PC is 1588258024. It was assigned to this organization in the NPPES registry on February 25, 2021.

Q: What is Oak Street Health Of Georgia PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 25, 2021CLIA 11D2214246 · Waiver

1825 ROCKBRIDGE RD STE 15B, STONE MOUNTAIN, GA 30087(470) 444-3134(470) 276-4370 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Feb 25, 2021 (2 updates tracked since 2021).

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About Oak Street Health Of Georgia Pc NPPES

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

OAK STREET HEALTH OF GEORGIA PC (NPI 1588258024) is a healthcare organization registered as a primary care in Stone Mountain, Georgia and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Terrance Morton, Cmo, as its authorized official.

NPPES Registry Identity

NPI1588258024

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameOAK STREET HEALTH OF GEORGIA PC

Location Address1825 ROCKBRIDGE RD STE 15BStone Mountain, GA 30087-3306

Mailing AddressPo Box 740015Atlanta, GA 30374-0015 · (312) 733-9730 · Fax (312) 929-0373

Phone(470) 444-3134

Fax(470) 276-4370

Organization SubpartNo

Authorized OfficialTerrance MortonCmo · (704) 607-4835

Enumeration DateFebruary 25, 2021

Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1588258024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1825 ROCKBRIDGE RD STE 15B, Stone Mountain, GA 30087

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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

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 11D2214246

Oak Street Health Of Georgia, PC · Stone Mountain, GA

Active · expires Feb 21, 2027

CLIA Number11D2214246

Laboratory TypePhysician Office

Certificate Effective DateFebruary 22, 2025

Certificate Expiration DateFebruary 21, 2027

Laboratory DirectorJohn R. Schumann

Laboratory Phone(844) 808-8262

Laboratory LocationOak Street Health Of Georgia, PC1825 Rockbridge Road Suite 15B, Stone Mountain, GA 30087

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 16

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

MS. KENISHA FRANCISCO APRN

Nurse Practitioner (Family)