Individual provider Active NPI

Oma Gama, PA-C

  • Physician Assistant
  • Greenville, NC
National Provider Identifier
1609800739
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00147 Issued in NC
Practice address
218 E Arlington Blvd
100-200
Greenville, NC 27858-5058
Phone
(252) 321-1621
Fax
(252) 565-0301
NPI assigned
Jul 11, 2006
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-00147 NC Primary

Addresses

Primary practice location

218 E Arlington Blvd
100-200
Greenville, NC 27858-5058

Mailing address

218 E Arlington Blvd
100-200
Greenville, NC 27858-5058
Phone (252) 321-1621

Other identifiers 1

IdentifierTypeStateIssuer
2632127OtherUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051102001135 NC Practitioner - Physician Assistant 1456379015 Reassigns benefits to 1 organization
I20230807003901 AZ Practitioner - Physician Assistant 1456379015 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7297AZMDDentist
0010-00147NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mind 247 Practice LLC CurrentSince Jun 27, 2023 Accepting new patients
Comprehensive Mental Health, P.a. Physician Assistant PastSince Feb 23, 2011 Accepting new patients
Alternative Care Treatments Systems, Inc Past Accepting new patients

Locations

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 674-5515

2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257

Interoperability endpoints

  • Direct secure messaging: oma.gama.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 6

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1609800739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E ARLINGTON BLVD",
            "address_2": "100-200",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585058",
            "telephone_number": "252-321-1621",
            "fax_number": "252-565-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E ARLINGTON BLVD",
            "address_2": "100-200",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585058",
            "telephone_number": "252-321-1621",
            "fax_number": "252-565-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMA",
        "first_name": "OMA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2632127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.