Active NPI
Medical Arts Health Care, LLC
Doing business as Omnicare of Atlanta #48233
- Long Term Care Pharmacy
- Conyers, GA
National Provider Identifier
1649382235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHRE007098
- Legal business name
- MEDICAL ARTS HEALTH CARE, LLC
- Doing business as
- Omnicare of Atlanta #48233
- Practice address
- 594 Sigman Rd
Suite 200
Conyers, GA 30013-1310 - Phone
- (770) 922-9812
- Fax
- (770) 922-0520
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Colbert
- Title
- Sr Dr, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | PHRE007098 | GA | Primary |
Addresses
Primary practice location
594 Sigman Rd
Suite 200
Conyers, GA 30013-1310
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- Omnicare of Atlanta #48233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930015912 | GA | DME Supplier - Pharmacy | 4486764875 | Practice locations: Conyers, GA |
| O20150901002326 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4486764875 | Practice locations: Conyers, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medical Arts Health Care, LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
594 Sigman Rd NE
Ste 200
Conyers, GA 30013
Phone (770) 922-9812
201 E 4th St
#201
Cincinnati, OH 45202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560297600000",
"number": "1649382235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "594 SIGMAN RD",
"address_2": "SUITE 200",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131310",
"telephone_number": "770-922-9812",
"fax_number": "770-922-0520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ARTS HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2019-06-12",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR DR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "GA",
"license": "PHRE007098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Omnicare of Atlanta #48233",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.