Organization Active NPI

Oscar Medical , Inc

  • Primary Care Clinic/Center
  • Decatur, GA
National Provider Identifier
1912440207
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OSCAR MEDICAL , INC
Practice address
3375 Memorial Dr
Decatur, GA 30032-2706
Phone
(470) 355-2340
NPI assigned
Nov 18, 2016
Organization subpart
Yes
Parent organization
OSCAR MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Dr. Igwebuike Oscar Medical Center, M.D
Title
Medical Director
Phone
(470) 355-2340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3375 Memorial Dr
Decatur, GA 30032-2706

Mailing address

3375 Memorial Dr
Decatur, GA 30032-2706
Phone (470) 355-2340

Other names 1

  • Oscar Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Oscar Medical Center

Locations

3375 Memorial Dr
Ste B
Decatur, GA 30032
Phone (470) 355-2340

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": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1912440207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 MEMORIAL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322706",
            "telephone_number": "470-355-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 MEMORIAL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322706",
            "telephone_number": "470-355-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR MEDICAL , INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSCAR MEDICAL CENTER",
        "enumeration_date": "2016-11-18",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "OSCAR MEDICAL CENTER",
        "authorized_official_first_name": "IGWEBUIKE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "470-355-2340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oscar Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oscar Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.