OMER L. EUBANKS MD, PC (NPI# 1982886248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982886248 |
| Entity Type | Organization |
| Organization Name | OMER L. EUBANKS MD, PC |
| Other Organization Name | NORTH FULTON HEALTHCARE ASSOCIATES |
| Practice Address |
1155 Hembree Rd Suite 210 Roswell GA 30076-4622 |
| Practice Telephone | 7707401753 |
| Practice Fax Number | 7707408503 |
| Mailing Telephone | 7707401753 |
| Mailing Fax Number | 7707408503 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2011-01-28 |
| Authorized Official Name | DR. OMER L. EUBANKS (PRESIDENT) |
| Authorized Official Telephone | 7707401753 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
008430 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PALMETTO GBA - RAILROAD MEDICARE | CL3877 | 01 |
| GA | 300028185B | 05 | |
| GA | WELLCARE | 432850 | 01 |
| Other Name | Type Code |
|---|---|
| North Fulton Healthcare Associates | Doing Business As Name - Organization |
| Street Address |
1155 HEMBREE RD SUITE 210 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043255185 | Omer Lafeyette Eubanks | Family Medicine | 1155 Hembree Rd, Ste. 210, Roswell, GA 30076-1122 | 2006-06-20 |
| 1245881879 | Clayton M Landrum | Behavioral Analyst | 1155 Hembree Rd, Roswell, GA 30076-4622 | 2019-09-25 |
| 1043248750 | Terra Mcdonald Bowers | Family Medicine | 1155 Hembree Rd, Ste. 210, Roswell, GA 30076-1122 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457619934 | Pangea Medical LLC | Clinic/Center | 2604 Gaye Dr, Roswell, NM 88201-3427 | 2012-05-02 |
| 1548534522 | Alpharetta Ob/gyn, P.c | Clinic/Center | 11205 Alpharetta Hwy Ste E2, Roswell, GA 30076-5646 | 2012-03-08 |
| 1629623343 | La Clinica, LLC | Clinic/Center | 10479 Alpharetta St Ste 18, Roswell, GA 30075-3764 | 2019-08-08 |
| 1407382567 | Pecos Valley Wellness LLC | Clinic/Center | 401 N Union Ave, Roswell, NM 88201-3948 | 2017-05-11 |
| 1306255922 | Perimeter Medical Wellness | Clinic/Center | 1250 Upper Hembree Rd, Ste B, Roswell, GA 30076-4651 | 2014-08-07 |
| 1790197614 | Union Medical | Clinic/Center | 207 N Union Ave Ste H, Roswell, NM 88201-3068 | 2014-05-27 |
| 1669894622 | Smart Primary Care LLC | Clinic/Center | 540 E Crossville Rd, Suite 211, Roswell, GA 30075-7661 | 2014-01-10 |
| 1235433418 | Elite Care Internal Medicine PC | Clinic/Center | 1240 Upper Hembree Rd, Ste D, Roswell, GA 30076-0914 | 2011-01-03 |
| 1770799702 | Alpharetta Internal Medicine Associates, PC | Clinic/Center | 1380 Upper Hembree Rd, Roswell, GA 30076-1146 | 2007-05-15 |
| 1831315431 | Keela K Weeks | Clinic/Center | 11050 Crabapple Road, Suite104 B, Roswell, GA 30075 | 2007-04-18 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.