Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Otis Samuel Powell Jr., MD

Individual provider Family Medicine Physician · NPI 1285654301

Dr. Otis Samuel Powell Jr., MD is a Family Practice in Atlanta, Georgia. Graduated from Medical College of Georgia School of Medicine in 1982, 44 years ago. Practices with Neesam Company Incorporated, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
44
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 Cleveland Ave SW Ste 500
Atlanta, GA 30315-7115
Phone: (404) 755-2291
Fax: (404) 755-5377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2391 Benjamin E Mays Dr Sw, Atlanta, GA 30311-3233 — (404) 755-2291
  • 3200 Highway 42 Ste C, Stockbridge, GA 30281-4666 — (770) 376-7927

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 025814 (GA)

Record details

NPI number1285654301
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Neesam Company Incorporated — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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