Individual provider Active NPI

Ana Combes Osacar, M.D.

  • Pediatrics Physician
  • Smyrna, GA
National Provider Identifier
1982675997
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
58406 Issued in GA
Practice address
4581 S Cobb Dr SE
Suite 100
Smyrna, GA 30080-6903
Phone
(770) 801-5000
Fax
(770) 435-6680
NPI assigned
Jan 28, 2006
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M2588 TX
Pediatrics Physician 208000000X 58406 GA Primary

Addresses

Primary practice location

4581 S Cobb Dr SE
Suite 100
Smyrna, GA 30080-6903

Mailing address

4581 S Cobb Dr SE
Ste 100
Smyrna, GA 30080-6903
Phone (770) 801-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061005000367 GA Practitioner - Pediatric Medicine 3577584663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58406GAMDPediatrics Physician
M2588TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jan 15, 2021 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients
Wellstar Health System, Inc. Pediatrics Past Accepting new patients
Almouie Pediatrics Pediatrics Past Accepting new patients

Locations

1810 Mulkey Rd
Ste 201
Austell, GA 30106
Phone (770) 819-9262

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

4581 S Cobb Dr SE
Ste 100
Smyrna, GA 30080
Phone (770) 801-5000

Interoperability endpoints

  • Direct secure messaging: acombes18853@directwellstar.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1982675997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 S COBB DR SE",
            "address_2": "STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806903",
            "telephone_number": "770-801-5000",
            "fax_number": "770-435-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4581 S COBB DR SE",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806903",
            "telephone_number": "770-801-5000",
            "fax_number": "770-435-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBES OSACAR",
        "first_name": "ANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M2588",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "58406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.