Omar Shami, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

64271 Issued in GA

Practice address

700 24TH St
Ft Greggadams, VA 23801-1716

Phone

(804) 734-9600

Fax

(877) 874-1008

NPI assigned

Jan 15, 2011

Last updated

Feb 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1972808392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FT GREGGADAMS",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9600",
            "fax_number": "877-874-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FT GREGGADAMS",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9600",
            "fax_number": "877-874-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMI",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-15",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "64271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Fort Gregg Adams, VA
• Providers in Fort Gregg Adams, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.