Organization Active NPI

Omega Health & Wellness

  • Pain Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1063895753
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
261QP3300X Issued in FL
Legal business name
OMEGA HEALTH & WELLNESS
Practice address
8761 Perimeter Park Blvd Ste 101
Jacksonville, FL 32216-6397
Phone
(904) 724-5767
Fax
(904) 724-5770
NPI assigned
Jun 30, 2015
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Mr. Corey Donnell
Title
Administrator
Phone
(904) 724-5767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 261QP3300X FL Primary

Addresses

Primary practice location

8761 Perimeter Park Blvd Ste 101
Jacksonville, FL 32216-6397

Mailing address

8761 Perimeter Park Blvd Ste 101
Jacksonville, FL 32216-6397
Phone (904) 724-5767

National Provider Directory

National Provider Directory
Tax ID family
Omega Health and Wellness Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8761 Perimeter Park Blvd
Ste 101
Jacksonville, FL 32216
Phone (904) 645-8778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1063895753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8761 PERIMETER PARK BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166397",
            "telephone_number": "904-724-5767",
            "fax_number": "904-724-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 PERIMETER PARK BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166397",
            "telephone_number": "904-724-5767",
            "fax_number": "904-724-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "DONNELL",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-724-5767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "261QP3300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.