Active NPI
Omar Daye
- Prosthetics Case Management
- Lawrenceville, GA
National Provider Identifier
1306685151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- BR020559
- Practice address
- 1812 N Brown Rd Ste 30
Lawrenceville, GA 30043-1801 - Phone
- (919) 824-1875
- NPI assigned
- May 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | BR020559 | GA | Primary |
Addresses
Primary practice location
1812 N Brown Rd Ste 30
Lawrenceville, GA 30043-1801
Mailing address
1219 Ashbrook Dr
Lawrenceville, GA 30043-4302
Phone (919) 824-1875
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1744P3200X | Other | GA | A9282 |
| 1744P3200X | Other | GA | D5924 |
| 1744P3200X | Other | GA | S8095 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Hair-Loss-Specialistt |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BR020559 | GA | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717286400000",
"number": "1306685151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 ASHBROOK DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300434302",
"telephone_number": "919-824-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 N BROWN RD STE 30",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300431801",
"telephone_number": "919-824-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYE",
"first_name": "OMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-22",
"last_updated": "2024-06-02",
"certification_date": "2024-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": "BR020559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "A9282",
"identifier": "1744P3200X",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "D5924",
"identifier": "1744P3200X",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "S8095",
"identifier": "1744P3200X",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Hair-Loss-Specialistt",
"affiliation": "N",
"endpointDescription": "Certified Hair Loss Specialist",
"address_1": "1812 N Brown Rd Ste 30",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300431801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.