Individual provider Active NPI

Anayo Umerah, M.D.

  • Family Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1003986761
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63745 Issued in GA
Practice address
1719 Russell Pkwy Ste 700
Warner Robins, GA 31088-5765
Phone
(478) 328-7674
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63745 GA Primary

Addresses

Primary practice location

1719 Russell Pkwy Ste 700
Warner Robins, GA 31088-5765

Mailing address

4300 N Point Pkwy Ste 300
Alpharetta, GA 30022-4102
Phone (770) 442-1911

Other identifiers 8

IdentifierTypeStateIssuer
605406OtherPAHEALTH AMERICA ADVANTRA
101487861MedicaidPA
000000213326OtherPAUNISON
000000213329OtherPAUNISON
P00435860OtherPARR MEDICARE
1788855OtherPABCBS
4279313OtherPACIGNA
P006393OtherPAGATEWAY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aumerah515707@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000945 GA Practitioner - Family PracticePractitioner - Physical Medicine and Rehabilitation 6608896295 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Physical Medicine and Rehabilitation
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

1719 Russell Pkwy
Warner Robins, GA 31088-5763
Phone (770) 442-1911

250 Hills and Dales Farm Rd
Lagrange, GA 30240-3805
Phone (248) 660-1220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. Family Medicine CurrentSince Mar 18, 2024 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jul 27, 2025 Accepting new patients
Middle Georgia Family Rehab CurrentSince Jun 27, 2019 Accepting new patients
Theoria Medical CurrentSince Jun 26, 2025 Accepting new patients
Anayo Umerah MD PC Family Medicine Past Accepting new patients
Umerah Family Practice LLC Past Accepting new patients
Vision Eye Group Past Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients
Inpatient Consultants of Pennsylvania PC Past Accepting new patients
Inpatient Consultants of Georgia, Inc Past Accepting new patients

Locations

1155 W College St
Bainbridge, GA 39819
Phone (229) 243-0931

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

218 GA Highway 49 N
Byron, GA 31008
Phone (478) 956-3477

100 Hamilton Pointe Dr
Ste 115
Byron, GA 31008
Phone (478) 956-4916

7560 Butner Rd
Fairburn, GA 30213
Phone (770) 306-7878

101 Hartford Rd E
Fort Gaines, GA 39851

604 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 355-3000

4000 Village View Dr
Gainesville, GA 30506
Phone (678) 450-3000

2200 Old Hamilton Pl
Gainesville, GA 30507
Phone (770) 532-2006

721 N Veterans Blvd
Glennville, GA 30427
Phone (912) 654-2138

3100 Savannah Hwy
Jesup, GA 31545
Phone (912) 278-4335

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

239 Arrowhead Blvd
Jonesboro, GA 30236
Phone (404) 312-0496

505 Coliseum Dr
Macon, GA 31217
Phone (478) 743-8687

1901 W Screven St
Quitman, GA 31643
Phone (229) 263-6100

420 Myrtle Dr
Roberta, GA 31078
Phone (478) 836-3101

501 E McCarty St
Sandersville, GA 31082
Phone (478) 552-5155

6711 La Roche Ave
Savannah, GA 31406
Phone (912) 354-8225

1451 Newton Dr
Tifton, GA 31794
Phone (229) 382-1665

4608 Lawrenceville Hwy
Tucker, GA 30084
Phone (770) 491-9444

211 Mathis Ave
Twin City, GA 30471
Phone (478) 763-2141

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

1719 Russell Pkwy
Ste 700
Warner Robins, GA 31088
Phone (478) 328-0806

1719 Russell Pkwy
Warner Robins, GA 31088
Phone (478) 328-7674

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Networks

  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO D-SNP
  • AL HMO

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCAECA/Endpoint/JCAECA
  • Direct secure messaging: aumerah515707@directwellstar.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1003986761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N POINT PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224102",
            "telephone_number": "770-442-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 RUSSELL PKWY STE 700",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885765",
            "telephone_number": "478-328-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMERAH",
        "first_name": "ANAYO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA ADVANTRA",
            "identifier": "605406",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101487861",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000213326",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000213329",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00435860",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1788855",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4279313",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P006393",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aumerah515707@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "670 Dekalb Ave SE Ste 106",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303121800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.