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

Omar David Lopez

Individual provider Emergency Medicine Physician · NPI 1164162889

Omar David Lopez is an Emergency Medicine in Marietta, Georgia. Graduated from University of South Carolina School of Medicine in 2022, 4 years ago. Practices with Acs Primary Care Physicians - Southeast PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2022
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Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (864) 305-8237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 Herlong Ave S, Rock Hill, SC 29732-1158 — (803) 329-1234

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 94179 (SC)

Record details

NPI number1164162889
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address677 Church St Ne, Marietta, GA 30060-1101

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Acs Primary Care Physicians - Southeast Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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