Omega Integrative Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OMEGA INTEGRATIVE HEALTHCARE, LLC

Practice address

4170 Sweetwater FLS
Ellenwood, GA 30294-1559

Phone

(678) 948-5288

Fax

(470) 735-0472

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Nicolle MartinNPI 1154597946

Title

Owner

Phone

(678) 948-5288

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicolle Venetta Martin, M.D.

  • Public Health & General Preventive Medicine Physician
  • Atlanta, GA
  • NPI 1154597946

  Family Medicine

  NPD Authorized official

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1033805353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925B PEACHTREE ST NE UNIT 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918",
            "telephone_number": "678-948-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 SWEETWATER FLS",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941559",
            "telephone_number": "678-948-5288",
            "fax_number": "470-735-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA INTEGRATIVE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NICOLLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-948-5288"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ojo
• Okezie Okoli
• George Olarewaju, MA
• Olufunlayo Aduni Olawole
• Olivia Jenice Olverson, OTR/L
• Latalvia Paramore, PT
• Samantha Bernardo Paredes
• Lillian Grace Parker, APRN
• Ami Patel, DDS
• Peaceful Activities, Inc.

• Family Medicine Physician in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.