Active NPI
Emily Elisabeth Omari
- Clinical Social Worker
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C10432
- Practice address
- 3450 Highway 80 W
Jackson, MS 39209-7201 - Phone
- (601) 321-2400
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C10432 | MS | Primary |
Addresses
Primary practice location
3450 Highway 80 W
Jackson, MS 39209-7201
Mailing address
3450 Highway 80 W
Jackson, MS 39209-7201
Phone (601) 321-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018209 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL, TN, LA, TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monogram Health Professional Services PC
Practice addresses (Care Compare)
Baton Rouge, LA 70827
Phone (855) 212-2273
Tempe, AZ 85281
Phone (855) 212-2273
2700 Corporate Dr
Suite 200
Birmingham, AL 35242-2733
Phone (855) 212-2273
5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087
Phone (855) 212-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9184 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services of Texas PLLC | Current | Accepting new patients |
Locations
2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760
60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734
5410 Maryland Way
Ste 400
Brentwood, TN 37027
708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436
Interoperability endpoints
- emily.omari.1@22854.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Nephrology Physician
- Brentwood, TN
- NPI 1396481255
TX
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1891338026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 HIGHWAY 80 W",
"city": "JACKSON",
"state": "MS",
"postal_code": "392097201",
"telephone_number": "601-321-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 HIGHWAY 80 W",
"city": "JACKSON",
"state": "MS",
"postal_code": "392097201",
"telephone_number": "601-321-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMARI",
"first_name": "EMILY",
"middle_name": "ELISABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C10432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018209",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.