MR. OMAR S GANZY SR. NP
NPI 1710524764
Nurse Practitioner - Acute Care in Newnan, GA
About Mr. Omar S Ganzy Sr. Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. OMAR S GANZY SR. NP (NPI 1710524764) is an individual acute care provider in Newnan, Georgia, licensed in Georgia (RN157958) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, Inc, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Omar S Ganzy Sr. Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southeastern Regional Medical Center, Inc
Acute Care Hospitals · Newnan, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWNAN, GA 30265
NEWNAN, GA 30265
NEWNAN, GA 30265
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 Omar Ganzy's NPI number?
The NPI number for Omar Ganzy is 1710524764. It was assigned to this individual provider in the NPPES registry on December 9, 2019.
Where is Omar Ganzy located?
Omar Ganzy practices at 600 Celebrate Life Pkwy, Newnan, GA 30265. The listed phone number is (850) 264-3477.
What is Omar Ganzy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Omar Ganzy enrolled in Medicare?
Yes. Omar Ganzy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Omar Ganzy affiliated with any hospitals?
According to CMS data, Omar Ganzy is affiliated with Southeastern Regional Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Omar Ganzy was last updated on June 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Omar S Ganzy Sr., NP · NPI 1710524764
Acute Care physician in Newnan, Georgia. Individual provider, active in the CMS NPPES registry since December 9, 2019.
## Identity
- **NPI:** 1710524764 (Entity type: Individual)
- **Enumerated:** December 9, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN157958 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 CELEBRATE LIFE PKWY, Newnan, GA 30265-8001
- **Phone:** (850) 264-3477
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 27, 2021
- **Other identifiers:** Other RN157958 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1710524764) · Data from the CMS NPPES public registry.