Oscar Cornell Gaines

Primary specialty

SpecialistTaxonomy code 174400000X

License

030410 Issued in GA

Practice address

1380 Dogwood Dr SE
Conyers, GA 30013-5039

Phone

(615) 327-3333

NPI assigned

Nov 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Oscar Cornell Gaines Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Heart of Georgia Sleep Medicine, LLC

  • Specialist
  • Dublin, GA
  • NPI 1295903490
  NPD (past)
• South Central Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Douglas, GA
  • NPI 1063840296
  NPD (past)
• Southeastern Surgery & Sleep Apnea Treatment Ctr. LLC

  • General Practice Physician
  • Macon, GA
  • NPI 1902935281

  Specialist

  NPD (past)

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1124329628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 COMMODORE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312112606",
            "telephone_number": "478-742-3215",
            "fax_number": "478-742-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 DOGWOOD DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135039",
            "telephone_number": "615-327-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "OSCAR",
        "middle_name": "CORNELL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "030410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSCAR",
            "last_name": "GAINES",
            "middle_name": "CORNELL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jana Allen Fuller, N.P.
• Vickie Lorraine Fulwider
• Functional Vitality
• Allen A Futral III, M.D.
• Misty Ann Futrell
• Margaret Anne Galbierz, PA-C
• Griselda Gallagher, RN
• Gamble Dentalsmart, PC
• Shailesh Gandhi, M.D.
• Victoria Ganka

• Specialist in Conyers, GA
• Providers in Conyers, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.