Active NPI
Family Practice & Surgery LLC
- General Practice Physician
- Sparta, GA
National Provider Identifier
1861644262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 020504
- Legal business name
- FAMILY PRACTICE & SURGERY LLC
- Practice address
- 446 Spring St
Sparta, GA 31087-1983 - Phone
- (706) 444-6521
- Fax
- (706) 444-6839
- NPI assigned
- Oct 16, 2008
- 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
- Dr. Omar Akhras, M.D.
- Title
- Sole Mer
- Phone
- (706) 444-6521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 020504 | GA | Primary |
Addresses
Primary practice location
446 Spring St
Sparta, GA 31087-1983
Mailing address
446 Spring St
Sparta, GA 31087-1983
Phone (706) 444-6521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090311000370 | GA | Part B Supplier - Clinic/Group Practice | 8426110271 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Sparta, GA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Family Practice Surgery LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Eatonton, GA
- NPI 1780836064
-
- Family Medicine Physician
- Sparta, GA
- NPI 1558502781
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679529600000",
"number": "1861644262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 SPRING ST",
"city": "SPARTA",
"state": "GA",
"postal_code": "310871983",
"telephone_number": "706-444-6521",
"fax_number": "706-444-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 SPRING ST",
"city": "SPARTA",
"state": "GA",
"postal_code": "310871983",
"telephone_number": "706-444-6521",
"fax_number": "706-444-6839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE & SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-16",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A",
"authorized_official_last_name": "AKHRAS",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "SOLE MER",
"authorized_official_telephone_number": "706-444-6521",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "GA",
"license": "020504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, GA
- CRM of Sparta LLC
- Edge of Hope LLC
- Shawn Marie Edgington, LPC, LCDC
- Johnesia Evans, PHLEBOTOMIST
- Family Practice & Surgery LLC
- Hancock County Association for Retarded Children, Inc.
- Hancock County Board of Education
- Hancock County Commissioner of Roads & Revenues
- Hancock County Health Care LLC
- Kemberly Jean Harrison-Smith, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.