Omega Psychiatric Solutions

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

OMEGA PSYCHIATRIC SOLUTIONS

Practice address

1735 Saint Julian PL Ste 102
Columbia, SC 29204-2402

Phone

(803) 497-9611

Fax

(803) 353-3622

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Kim J Gilmore, PMCNS, ANPNPI 1184810665

Title

Co-Owner

Phone

(803) 497-9611

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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

• Kim J Gilmore, CNS, NP, DNP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Columbia, SC
  • NPI 1184810665
  Medicare reassignment Care Compare group NPD Authorized official
• Veronique Gilmore, MA, LPC

  • Professional Counselor
  • Columbia, SC
  • NPI 1053877845
  Medicare reassignment Care Compare group NPD
• Margaret Sexton Johnson, APRN BC, DNP

  • Nurse Practitioner
  • Columbia, SC
  • NPI 1750535530
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1154892099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 SAINT JULIAN PL STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042402",
            "telephone_number": "803-497-9611",
            "fax_number": "803-764-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 SAINT JULIAN PL STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042402",
            "telephone_number": "803-497-9611",
            "fax_number": "803-353-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PSYCHIATRIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "803-497-9611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMCNS, ANP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902891294",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184810665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669404950",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Sean Olson, CRNA
• Linda Sible Olson
• Taylor Kerington Olson, PA
• Raymond J Olszewski Jr., LMSW
• Audrey Olzacki
• Ahmed Omer, PHARMD
• Omni Therapy Solutions, LLC
• Benjamin Jacob Ondersma, O.D.
• Brian Gregory Ondocsin, DMD
• One Piece at a Time

• Psychiatry Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.