Individual provider Active NPI

Efosa Omonuwa Ogiamien, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tucker, GA
National Provider Identifier
1245640820
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
82884 Issued in GA
Practice address
1370 Montreal Rd Ste 130
Tucker, GA 30084-8128
Phone
(601) 613-8250
NPI assigned
May 5, 2014
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 82884 GA
Anesthesiology Physician 207L00000X 37064 AL
Pain Medicine (Anesthesiology) Physician 207LP2900X 82884 GA Primary
Interventional Pain Medicine Physician 208VP0014X 82884 GA

Addresses

Primary practice location

1370 Montreal Rd Ste 130
Tucker, GA 30084-8128

Mailing address

3390 Peachtree Rd NE Ste 1500
Atlanta, GA 30326-2822
Phone (404) 920-4950

Other practice location 1

619 19th St S
Birmingham, AL 35249
Phone (205) 934-4011

Other practice location 2

1388 Wellbrook Cir NE Ste A
Conyers, GA 30012-3872
Phone (404) 920-4950

Other names 1

  • Osa Ogiamien Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190604003188 GA Practitioner - Anesthesiology 5193076073 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Mississippi School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympusmd Pain and Wellness SpecialistsGroup PAC ID 0143627760, 2 clinicians
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1370 Montreal Rd
Suite 130
Tucker, GA 30084-8145

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

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

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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Mar 15, 2023 Accepting new patients
The Interventional Spine and Pain Management Center PC Interventional Pain Medicine CurrentSince May 1, 2019 Accepting new patients
The Interventional Spine and Pain Management Center, PC Interventional Pain Medicine CurrentSince May 1, 2019 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
CPM Labs, LLC Current Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Feb 2, 2026 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiology CurrentSince Oct 24, 2024 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Sep 3, 2019 Accepting new patients
Olympusmd Pain and Wellness Specialists Interventional Pain Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

3885 Princeton Lakes Way SW
Ste 400
Atlanta, GA 30331
Phone (404) 344-6575

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

3400 Chapel Hill Rd
Ste 102
Douglasville, GA 30135

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

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1360 Upper Hembree Rd
Ste 202
Roswell, GA 30076
Phone (678) 672-4840

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200

1600 Medical Way
Ste 100
Snellville, GA 30078
Phone (770) 736-2225

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

2820 Main St W
Snellville, GA 30078
Phone (770) 676-9805

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1370 Montreal Rd
Ste 130
Tucker, GA 30084
Phone (678) 990-1383

Organizations & group practices 9

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 2

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1245640820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262822",
            "telephone_number": "404-920-4950",
            "fax_number": "404-920-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 MONTREAL RD STE 130",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848128",
            "telephone_number": "601-613-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35249",
            "country_code": "US",
            "telephone_number": "205-934-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1388 Wellbrook Cir NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123872",
            "country_code": "US",
            "telephone_number": "404-920-4950",
            "fax_number": "404-920-4959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGIAMIEN",
        "first_name": "EFOSA",
        "middle_name": "OMONUWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "82884",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "37064",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "82884",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "82884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSA",
            "last_name": "OGIAMIEN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.