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DR. OMAR FARUK AHMAD
NPI 1972965226
Family Medicine in Macon, GA

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment
3400 RIVERSIDE DRVIE, MACON, GA 31210(478) 474-5600(478) 471-6769 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2020, Aug 23, 2019, Mar 25, 2016 (3 updates tracked since 2016).

About Dr. Omar Faruk Ahmad NPPES

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

DR. OMAR FARUK AHMAD (NPI 1972965226) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (83079) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972965226
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. OMAR FARUK AHMAD
Location Address3400 RIVERSIDE DRVIEMacon, GA 31210
Mailing Address3400 Riverside DrvieMacon, GA 31210 · (478) 474-5600 · Fax (478) 471-6769
Phone(478) 474-5600
Fax(478) 471-6769
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 25, 2016
Last NPPES UpdateSeptember 18, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1972965226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 83079
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3400 RIVERSIDE DRVIE, Macon, GA 31210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.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

Dr. Omar Faruk Ahmad 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 ID4789977612
PECOS Enrollment IDI20190909003282
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 3

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.

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.
98 services98 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.
59 services59 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.
38 services38 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ahmad's NPI number?

The NPI number for Omar Ahmad is 1972965226. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Omar Ahmad located?

Omar Ahmad practices at 3400 Riverside Drvie, Macon, GA 31210. The listed phone number is (478) 474-5600.

What is Omar Ahmad's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Omar Ahmad enrolled in Medicare?

Yes. Omar Ahmad 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 Ahmad accept?

Health plans from Alliant Health Plans, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Omar Ahmad 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 Ahmad affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Omar Ahmad was last updated on September 18, 2020. 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.