Provider Demographics
NPI:1215947544
Name:OMESS, PATRICK JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JAMES
Last Name:OMESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 847
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-0847
Mailing Address - Country:US
Mailing Address - Phone:229-928-4144
Mailing Address - Fax:229-928-3410
Practice Address - Street 1:201 REES ST
Practice Address - Street 2:STE B
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-3758
Practice Address - Country:US
Practice Address - Phone:229-928-1909
Practice Address - Fax:229-928-1965
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA56913208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA918810376EMedicaid
GA52198501-002OtherBCBS
GA918810376DMedicaid
GA918810376CMedicaid
GA34BDDPVOtherMEDICARE
GA918810376DMedicaid