NPIMap

Individual provider Active NPI

Omar Atassi

  • Family Medicine Physician
  • Maumelle, AR
National Provider Identifier
1851094858
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-19165 Issued in AR
Practice address
1701 Club Manor Suite 2B, Maumelle, 72113
Maumelle, AR 72113
Phone
(501) 851-7402
Fax
(501) 851-4753
NPI assigned
Mar 27, 2023
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X E-19165 AR Primary

Addresses

Primary practice location

1701 Club Manor Suite 2B, Maumelle, 72113
Maumelle, AR 72113

Mailing address

100 Bill Hegeman Blvd Apt S101
Conway, AR 72032-6043
Phone (440) 667-9476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520003731 AR Practitioner - Family Practice 7911449772 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess of McGehee LLCGroup PAC ID 0749677516, 18 clinicians

Practice addresses (Care Compare)

900 S 3Rd St
MC Gehee, AR 71654-2562
Phone (870) 222-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-19165ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Bradley County Medical Center CurrentSince Feb 4, 2026 Accepting new patients
Bradley County Medical Center CurrentSince Feb 4, 2026 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Aug 29, 2025 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Apr 1, 2025 Accepting new patients
Bradley County Medical Center CurrentSince Feb 4, 2026 Accepting new patients
Ess of McGehee LLC CurrentSince Apr 1, 2025 Accepting new patients
Ess of Fordyce LLC CurrentSince Apr 1, 2025 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Apr 6, 2023 Accepting new patients
Bradley County Medical Center CurrentSince Feb 4, 2026 Accepting new patients
Arkansas Health Group PastSince Mar 31, 2003 Accepting new patients
Arkansas Health Group Past Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

900 S 3rd St
McGehee, AR 71654
Phone (855) 498-6768

1601 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7611

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/bradley-49d5c27e

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1851094858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BILL HEGEMAN BLVD APT S101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720326043",
            "telephone_number": "440-667-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CLUB MANOR SUITE 2B, MAUMELLE, 72113",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "72113",
            "telephone_number": "501-851-7402",
            "fax_number": "501-851-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATASSI",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-19165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumelle, AR

Sources for this page

Verify at the official NPI Registry.