Individual provider Active NPI

Michael Brandon Omar, MD/MBBS

  • Cardiovascular Disease Physician
  • Brunswick, GA
National Provider Identifier
1770077083
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
98042 Issued in GA
Practice address
3025 Shrine Rd Ste 290
Brunswick, GA 31520-4785
Phone
(912) 466-7660
Fax
(912) 264-1526
NPI assigned
Jun 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 98042 GA Primary

Addresses

Primary practice location

3025 Shrine Rd Ste 290
Brunswick, GA 31520-4785

Mailing address

PO Box 1213
Brunswick, GA 31521-1213
Phone (912) 466-5000

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
I20240424000681 GA Practitioner - Cardiovascular Disease (Cardiology) 4587918503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services Inc 235 clinicians

Practice addresses (Care Compare)

2060 Dan Proctor Dr
Suite 1200
Saint Marys, GA 31558-3895
Phone (912) 882-6310

Hospital & facility affiliations

  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
  • Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98042GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc CurrentSince Jul 1, 2024 Accepting new patients
Strickland, Certain & Jones Cardiovascular Disease Past Accepting new patients

Locations

3025 Shrine Rd
Ste 290
Brunswick, GA 31520
Phone (912) 267-1026

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

2500 Starling St
Ste 404
Brunswick, GA 31520
Phone (912) 264-1520

2060 Dan Proctor Dr
Ste 1200
Saint Marys, GA 31558
Phone (912) 540-6750

Interoperability endpoints

  • Direct secure messaging: momar@secure.sghsmessaging.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1770077083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1213",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315211213",
            "telephone_number": "912-466-5000",
            "fax_number": "912-466-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 290",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204785",
            "telephone_number": "912-466-7660",
            "fax_number": "912-264-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "MICHAEL",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "MD/MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "98042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.