Delisha Danieal Oferrell, ATC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

AT001424 Issued in GA

Practice address

3570 Wheeler Rd
Augusta, GA 30909-1893

Phone

(706) 922-9627

NPI assigned

Sep 2, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1003537556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091893",
            "telephone_number": "706-922-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFERRELL",
        "first_name": "DELISHA",
        "middle_name": "DANIEAL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "GA",
            "license": "AT001424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Oei, MD
• Suzanne Marlene Oellerich, PA-C
• John Stanley Oester, MD
• Krystal Lee Oestreich, NP
• Gregory Martin Oetting, M.D.
• Jane Bennett Oglesby, RN
• Julie A Oglesby, FNP-C
• Abimbola Ogunnaike
• Chijioke Victor Ohamadike, MD
• Donald Emmanuel Ohioma, MD

• Prevention Professional in Augusta, GA
• Providers in Augusta, GA by specialty
• Prevention Professional in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.