OMAR S QUEENSBOURROW PA
NPI 1841534591
Physician Assistant - Medical in Atlanta, GA

Active since November 19, 2012PECOS EnrolledAccepts Medicare Assignment
5185 OLD NATIONAL HWY, ATLANTA, GA 30349(404) 763-9300(404) 763-9306 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2021, Jun 22, 2016 (2 updates tracked since 2016).

About Omar S Queensbourrow Pa NPPES

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

OMAR S QUEENSBOURROW PA (NPI 1841534591) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (006678) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and maintains a secondary practice location in Morrow.

NPPES Registry Identity

NPI1841534591
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameOMAR S QUEENSBOURROWCredential: PA
Location Address5185 OLD NATIONAL HWYAtlanta, GA 30349-3244
Mailing Address198 Greenview TerMacon, GA 31220-8755
Fax(404) 763-9306
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 19, 2012
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
NPI 1841534591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in GA · 006678 Licensed in FL · PA 9106708
5185 OLD NATIONAL HWY, Atlanta, GA 30349

Secondary Practice Location 1

Location 16053 Jonesboro RdMorrow, GA 30260-1106 · Phone (770) 824-4343 · Fax (678) 519-1089

Accepted Insurance

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

Omar S Queensbourrow Pa 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.

PECOS PAC ID8426201153
PECOS Enrollment IDI20130109000266, I20250213001952
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
66 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services50 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services37 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
29 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

Non-Pharmacy Dispensing Site
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Clinic/Center (Urgent Care)
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Chiropractor
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Nurse Practitioner (Family)
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Nurse Practitioner
5185 OLD NATIONAL HWY
COLLEGE PARK, GA 30349
Internal Medicine
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Internal Medicine
5185 OLD NATIONAL HWY
ATLANTA, GA 30349
Student in an Organized Health Care Education/Training Program
5185 OLD NATIONAL HWY
COLLEGE PARK, GA 30349

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 Queensbourrow's NPI number?

The NPI number for Omar Queensbourrow is 1841534591. It was assigned to this individual provider in the NPPES registry on November 19, 2012.

Where is Omar Queensbourrow located?

Omar Queensbourrow practices at 5185 Old National Hwy, Atlanta, GA 30349. The listed phone number is (404) 763-9300.

What is Omar Queensbourrow's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Omar Queensbourrow enrolled in Medicare?

Yes. Omar Queensbourrow 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.

What insurance does Omar Queensbourrow accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Omar Queensbourrow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Omar Queensbourrow affiliated with any hospitals?

According to CMS data, Omar Queensbourrow is affiliated with Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Omar Queensbourrow was last updated on August 4, 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.