Individual provider Active NPI

Omayma Amin

  • Pediatric Infectious Diseases Physician
  • Atlanta, GA
National Provider Identifier
1629462007
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
79631 Issued in GA
Practice address
720 Westview Dr SW
Morehouse School of Medicine/Gme
Atlanta, GA 30310-1458
Phone
(404) 756-1393
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 79631 GA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Infectious Diseases Physician 2080P0208X 79631 GA Primary

Addresses

Primary practice location

720 Westview Dr SW
Morehouse School of Medicine/Gme
Atlanta, GA 30310-1458

Mailing address

720 Westview Dr SW
Morehouse School of Medicine/Gme
Atlanta, GA 30310-1458
Phone (404) 756-1393

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
I20180725001998 GA Practitioner - Pediatric Medicine 2062714223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choa Multispecialty, LLC 35 clinicians

Practice addresses (Care Compare)

1400 Tullie Rd NE
Suite 210
Atlanta, GA 30329-2309
Phone (404) 785-5437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79631GAMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Healthcare, Inc. Pediatrics CurrentSince Jul 1, 2018 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 20, 2022 Accepting new patients
Egleston Pediatric Group Pediatrics Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 20, 2022 Accepting new patients
Choa Multispecialty, LLC Pediatrics CurrentSince Jul 26, 2023 Accepting new patients
Choa Hospital Based, LLC Pediatrics CurrentSince Jul 26, 2023 Accepting new patients
Arthur M. Blank Hospital, Inc. Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

720 Westview Dr SW
Atlanta, GA 30310
Phone (404) 756-1383

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

1400 Tullie Rd NE
Ste 210
Atlanta, GA 30329
Phone (404) 785-0122

35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1629462007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "address_2": "MOREHOUSE SCHOOL OF MEDICINE/GME",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-756-1393",
            "fax_number": "404-756-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "address_2": "MOREHOUSE SCHOOL OF MEDICINE/GME",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-756-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "OMAYMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "79631",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "GA",
            "license": "79631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.