Oasis PCH LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OASIS PCH LLC

Practice address

1487 Panola Rd
Stone Mountain, GA 30088-3305

Phone

(770) 573-1076

NPI assigned

May 16, 2021

Organization subpart

No

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

Authorized official

Name

Patrick Gordon

Title

Coo

Phone

(404) 432-2350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1621123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621123200000",
    "number": "1649844507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 ROCKBRIDGE RD STE 208-196",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873064",
            "telephone_number": "770-755-1394",
            "fax_number": "770-220-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 PANOLA RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883305",
            "telephone_number": "770-573-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-16",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-432-2350"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gifty Ntiamoah, NP
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• Joseph Nyankum, PA-C
• Lillian Jean O'Connor, RN
• Oak Street Health of Georgia PC
• Oasis Private Home Care Services Inc
• Ebinehita Cordelia Oboh, PHARMD
• Lucinda Onychi Ogebe
• Adejoke Ojumu
• Nikeisha Clevia Oliver

• Community/Behavioral Health Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.