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

Omar S Queensbourrow, PA

Individual provider Medical Physician Assistant · NPI 1841534591

Omar S Queensbourrow, PA is a Physician Assistant in Atlanta, Georgia. Qualified in 2012, 14 years ago. Practices with Health Services of Central Georgia, a 299-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
14
Licensed in
FL, GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5185 Old National Hwy
Atlanta, GA 30349-3244
Phone: (404) 763-9300
Fax: (404) 763-9306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6053 Jonesboro Rd, Morrow, GA 30260-1106 — (770) 824-4343

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006678 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 9106708 (FL)

Record details

NPI number1841534591
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 19, 2012
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Health Services Of Central Georgia — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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