OAK STREET HEALTH OF GEORGIA PC
NPI 1588258024
Clinic/Center - Primary Care in Stone Mountain, GA
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
Specialties & Licenses 6
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)
Oak Street Health Of Georgia Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to Oak Street Health Of Georgia PC, which bills Medicare for the services they deliver. Of these, 11 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 57Stone Mountain, GA 30087
Stone Mountain, GA 30087
Stone Mountain, GA 30087
Stone Mountain, GA 30087
Stone Mountain, GA 30087
Stone Mountain, GA 30087
Stone Mountain, GA 30087
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 11D2214246
Oak Street Health Of Georgia, PC · Stone Mountain, 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 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.
Where is Oak Street Health Of Georgia PC located?
Oak Street Health Of Georgia PC is located at 1825 Rockbridge Rd Ste 15B, Stone Mountain, GA 30087. The listed phone number is (470) 444-3134.
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.
Is Oak Street Health Of Georgia PC enrolled in Medicare?
Yes. Oak Street Health Of Georgia PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Oak Street Health Of Georgia PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 7 Medicare specialties reassign their Medicare billing to Oak Street Health Of Georgia PC. 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. The largest specialties are Nurse Practitioner (39), Internal Medicine (6) and Family Practice (5). Of these, 11 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Oak Street Health Of Georgia PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2214246) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Oak Street Health Of Georgia PC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Oak Street Health Of Georgia Pc · NPI 1588258024
Primary Care organization in Stone Mountain, Georgia. Organization record, active in the CMS NPPES registry since February 25, 2021.
## Identity
- **NPI:** 1588258024 (Entity type: Organization)
- **Enumerated:** February 25, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Terrance Morton, CMO
## Practice location
- **Address:** 1825 ROCKBRIDGE RD STE 15B, Stone Mountain, GA 30087-3306
- **Phone:** (470) 444-3134 · **Fax:** (312) 929-0373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 57 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (39), Internal Medicine (6), Family Practice (5); 11 practice at this address; [full list](https://npiprofile.com/npi/1588258024/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1588258024) · Data from the CMS NPPES public registry.