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

Individual provider Physician Assistant · NPI 1972021962

Omid Midanaky, PA-C is a Physician Assistant in Decatur, Georgia. Qualified in 2017, 9 years ago. Practices with Dekalb Orthopaedic Clinic, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2801 N Decatur Rd
Decatur, GA 30033-5949
Phone: (404) 296-5055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8538 (GA)

Record details

NPI number1972021962
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 30, 2017
Last updated in NPPESJuly 30, 2025
Certification dateJuly 16, 2025
Mailing address810 Whisperwood Trl, Acworth, GA 30102-7586

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Dekalb Orthopaedic Clinic — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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