Individual provider Active NPI

Emily Elisabeth Omari

  • Clinical Social Worker
  • Jackson, MS
National Provider Identifier
1891338026
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C10432 Issued in MS
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

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00018209MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, TN, LA, TX, AZ6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20240405003420 MS Practitioner - Clinical Social Worker 0749628998 Reassigns benefits to 1 organization
I20240409001488 AL Practitioner - Clinical Social Worker 0749628998 Reassigns benefits to 1 organization
I20240516000426 TN Practitioner - Clinical Social Worker 0749628998 Reassigns benefits to 1 organization
I20240909000341 LA Practitioner - Clinical Social Worker 0749628998 Reassigns benefits to 1 organization
I20241023004539 TX Practitioner - Clinical Social Worker 0749628998 Reassigns benefits to 1 organization
I20241231001794 AZ Practitioner - Clinical Social Worker 0749628998 Reassigns benefits to 1 organization

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 PCGroup PAC ID 4880004183, shared by 7 NPIs, 27 clinicians

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

LicenseStateTypeSpecialty
9184TNMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC CurrentSince Mar 29, 2024 Accepting new patients
Monogram Health Professional Services PC CurrentSince Mar 25, 2024 Accepting new patients
Monogram Health Professional Services PC CurrentSince Aug 2, 2024 Accepting new patients
Monogram Health Professional Services PC CurrentSince Dec 13, 2024 Accepting new patients
Monogram Health Professional Services PC CurrentSince Mar 25, 2024 Accepting new patients
Monogram Health Professional Services of Texas PLLC CurrentSince Oct 9, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.