Individual provider Active NPI

Rebecca Marie Ozimek, CNM

  • Advanced Practice Midwife
  • Dallas, GA
National Provider Identifier
1437710126
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN-CNM281287 Issued in GA
Practice address
120 Greystone Power Blvd Ste 100
Dallas, GA 30157-8297
Phone
(678) 945-8345
Fax
(470) 956-1180
NPI assigned
Jun 24, 2019
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN-CNM281287 GA Primary

Addresses

Primary practice location

120 Greystone Power Blvd Ste 100
Dallas, GA 30157-8297

Mailing address

120 Greystone Power Blvd Ste 100
Dallas, GA 30157-8297
Phone (678) 945-8345

Other practice location 1

227 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 720-7733

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813001782 GA Practitioner - Certified Nurse Midwife (CNM) 2769719889 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN-CNM281287GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jul 1, 2019 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 1, 2019 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

1791 Mulkey Rd
Ste 200
Austell, GA 30106
Phone (770) 732-5400

120 Greystone Power Blvd
Ste 100
Dallas, GA 30157
Phone (678) 945-8345

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

Interoperability endpoints

  • Direct secure messaging: rlanci336087@directwellstar.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1437710126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GREYSTONE POWER BLVD STE 100",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301578297",
            "telephone_number": "678-945-8345",
            "fax_number": "470-956-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GREYSTONE POWER BLVD STE 100",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301578297",
            "telephone_number": "678-945-8345",
            "fax_number": "470-956-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Riverstone Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301145256",
            "country_code": "US",
            "telephone_number": "770-720-7733",
            "fax_number": "770-720-7557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZIMEK",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "APRN-CNM281287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

Verify at the official NPI Registry.