| Omni Health Solutions Llc | |
|
841 Mulberry St Macon GA 31201-6756 | |
| (478) 741-6554 | |
| (478) 743-7052 |
| Full Name | Omni Health Solutions Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 841 Mulberry St, Macon, Georgia |
| Authorized Official Name and Position | Clyde O. Green (MANAGING PARTNER) |
| Authorized Official Contact | 4787437805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Health Solutions Llc 841 Mulberry St Macon GA 31201-6756 Ph: (478) 741-6554 | Omni Health Solutions Llc 841 Mulberry St Macon GA 31201-6756 Ph: (478) 741-6554 |
| NPI Number | 1356363287 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 11/09/2009 |
| Medicare PECOS PAC ID | 1658317383 |
|---|---|
| Medicare Enrollment ID | O20050705000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356363287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Clyde O Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417178187 PECOS PAC ID: 2668418054 Enrollment ID: I20070806000391 |
| Provider Name | Dorothy Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104298900 PECOS PAC ID: 3779889035 Enrollment ID: I20160311001874 |
| Provider Name | Andrrea Michelle Zellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770042228 PECOS PAC ID: 8123360807 Enrollment ID: I20190429002286 |
| Provider Name | Sharon P Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417236845 PECOS PAC ID: 8426419250 Enrollment ID: I20230726003207 |
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Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 | |
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