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

Omar Abu-Alrub, AGACNP

Individual provider Registered Nurse · NPI 1265162622

Omar Abu-Alrub, AGACNP is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2022, 4 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

200 S Enota Dr NE Ste 360
Gainesville, GA 30501-3466
Phone: (770) 219-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 743 Spring St Ne, Gainesville, GA 30501-3899 — (256) 224-1296

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN307511 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN307511 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265162622
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJune 16, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gainesville