Organization Active NPI

Om Healthcare LLC

Doing business as Georgia Acute Medical Services

  • Internal Medicine Physician
  • Athens, GA
National Provider Identifier
1902622137
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OM HEALTHCARE LLC
Doing business as
Georgia Acute Medical Services
Practice address
1083 Parkway Blvd
Athens, GA 30606-6171
Phone
(347) 458-7445
NPI assigned
Dec 3, 2024
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Kushal Patel, MDNPI 1346500477
Title
Medical Director
Phone
(219) 230-2091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1083 Parkway Blvd
Athens, GA 30606-6171

Mailing address

5805 State Bridge Rd Ste G439
Johns Creek, GA 30097-8220
Phone (706) 681-0155

Other names 1

  • GEORGIA ACUTE MEDICAL SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250306001847 GA Part B Supplier - Clinic/Group Practice 3779004767 Receives reassigned benefits from 5 practitioners
Practice locations: Athens, GA
O20250312000181 GA Part B Supplier - Clinic/Group Practice 3779004767 Practice locations: Athens, GA

National Provider Directory

National Provider Directory

Locations

1083 Parkway Blvd
Athens, GA 30606
Phone (347) 458-7445

5805 State Bridge Rd
Ste G439
Johns Creek, GA 30097

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1902622137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 STATE BRIDGE RD STE G439",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978220",
            "telephone_number": "706-681-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 PARKWAY BLVD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066171",
            "telephone_number": "347-458-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KUSHAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "219-230-2091",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGIA ACUTE MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.

Verify at the official NPI Registry.