Omar S Jalil, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

058254 Issued in GA

Practice address

2295 Ronald Reagan Pkwy
Snellville, GA 30078-5698

Phone

(770) 982-2331

Fax

(770) 972-4104

NPI assigned

Aug 17, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Internal MedicineAlso: Hospitalist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ten Med LLCGroup PAC ID 6406101005, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central HH Care, an Amedisys Company Home health agency, Atlanta, GA, CCN 117039
• Interim Healthcare of Atlanta Inc Home health agency, Atlanta, GA, CCN 117067
• Centerwell Home Health Home health agency, Atlanta, GA, CCN 117132
• Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tenmedllc.omarjalil@159903.advancedmd-direct.com

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.

• Ten Med LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1588179592
  Medicare reassignment Care Compare group NPD
• Gwinnett Medical Group, Inc

  • General Practice Physician
  • Lawrenceville, GA
  • NPI 1780747469

  Internal Medicine

  NPD (past)

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

• Amedisys Georgia LLC

  dba Central Home Health Care, an Amedisys Company

  • Home Health Agency
  • Atlanta, GA
  • NPI 1831147529
  Care Compare affiliation
• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Tucker, GA
  • NPI 1477501179
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  dba Centerwell Home Health

  • Home Health Agency
  • Atlanta, GA
  • NPI 1891725693
  Care Compare affiliation
• STG Healthcare of Atlanta, Inc.

  dba Interim Healthcare of Atlanta, Inc.

  • Home Health Agency
  • Atlanta, GA
  • NPI 1952337214
  Care Compare affiliation

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083727424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 VERNON SPRINGS TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274511",
            "telephone_number": "770-982-2331",
            "fax_number": "770-972-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 RONALD REAGAN PKWY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785698",
            "telephone_number": "770-982-2331",
            "fax_number": "770-972-4104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5673 Peachtree Dunwoody Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421731",
            "country_code": "US",
            "telephone_number": "404-855-5660",
            "fax_number": "404-855-5696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 Joe Frank Harris Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301202159",
            "country_code": "US",
            "telephone_number": "470-490-1901",
            "fax_number": "470-490-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JALIL",
        "first_name": "OMAR",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "058254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Marie Jackson, DO
• Jacquelyn Macey PA-C LLC
• Jae Pak PC (Healthcare For Seniors)
• Gautam Jagoo, MD
• Domonque Louise Jakes, RN
• Jambah Group, LLC (Turning Point Health Care Systems)
• Andy James, CRNA
• Beverly James, O.T.
• Toshia Jamison
• Divakar Jammalamadaka, MD

• Internal Medicine Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.