Organization Active NPI

Oasis Healthcare Service

  • Primary Care Nurse Practitioner
  • Covington, GA
National Provider Identifier
1912514969
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
OASIS HEALTHCARE SERVICE
Practice address
2195 Pace St Ste E
Covington, GA 30014-6657
Phone
(470) 444-1005
Fax
(866) 983-3188
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Troy Taylor
Title
Ceo
Phone
(678) 927-6744

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2195 Pace St Ste E
Covington, GA 30014-6657

Mailing address

2195 Pace St Ste E
Covington, GA 30014-6657
Phone (470) 444-1005

National Provider Directory

National Provider Directory

Locations

2195 Pace St
Ste E
Covington, GA 30014
Phone (470) 444-1005

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1912514969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 PACE ST STE E",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146657",
            "telephone_number": "470-444-1005",
            "fax_number": "866-983-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 PACE ST STE E",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300146657",
            "telephone_number": "470-444-1005",
            "fax_number": "866-983-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-927-6744"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.