Individual provider Active NPI

Ovais Inamullah, M.D.

  • Vascular Neurology Physician
  • Marietta, GA
National Provider Identifier
1043673171
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
87987 Issued in GA
Practice address
677 Church St NE
Marietta, GA 30060-1101
Phone
(770) 793-5000
NPI assigned
Apr 5, 2016
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X 87987 GA
Neurology Physician 2084N0400X 2023036733 MO
Neurology Physician 2084N0400X 69402 TN
Neurology Physician 2084N0400X 25MA11917300 NJ
Neurology Physician 2084N0400X ME164126 FL
Neurology Physician 2084N0400X 01089897A IN
Vascular Neurology Physician 2084V0102X 03875 NC
Vascular Neurology Physician 2084V0102X 87987 GA Primary

Addresses

Primary practice location

677 Church St NE
Marietta, GA 30060-1101

Mailing address

677 Church St NE
Marietta, GA 30060-1101
Phone (770) 422-2326

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oinamullah420815@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IN, FL, MO, TN, NJ6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20210513001551 GA Practitioner - Neurology 8022301282 Reassigns benefits to 1 organization
I20230530002553 IN Practitioner - Neurology 8022301282 Reassigns benefits to 1 organization
I20230724000085 FL Practitioner - Neurology 8022301282 Reassigns benefits to 1 organization
I20231031003318 MO Practitioner - Neurology 8022301282 Reassigns benefits to 1 organization
I20231129002274 TN Practitioner - Neurology 8022301282 Reassigns benefits to 1 organization
I20231214001055 NJ Practitioner - Neurology 8022301282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
ICU NJ PCGroup PAC ID 4082836697, 21 clinicians
Nuview Health Indiana PCGroup PAC ID 6103169966, 43 clinicians

Practice addresses (Care Compare)

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500

151 E Redstone Ave
Crestview, FL 32539-5352
Phone (561) 299-3667

1510 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 845-3905

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 880-7222

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (561) 299-3667

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (561) 299-3667

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (561) 299-3667

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
03875NCMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ICU NJ, PC CurrentSince Dec 28, 2023 Accepting new patients
Nuview Health Indiana PC CurrentSince Jun 7, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jun 1, 2021 Accepting new patients
Nuview Telehealth, LLC Neurology CurrentSince Jul 31, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Acworth Family Practice, LLC Past Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

Interoperability endpoints

  • Direct secure messaging: oinamullah420815@directwellstar.org

Organizations & group practices 6

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

Hospital & facility affiliations 5

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1043673171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601101",
            "telephone_number": "770-422-2326",
            "fax_number": "770-422-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601101",
            "telephone_number": "770-793-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INAMULLAH",
        "first_name": "OVAIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "87987",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2023036733",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "69402",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA11917300",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME164126",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01089897A",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NC",
            "license": "03875",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "GA",
            "license": "87987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oinamullah420815@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "677 Church St NE",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.