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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients200
Services billed 595 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Atrium Health Navicent The Medical Center Hospital · Macon, GA
  • Bristol Bay Dba Kanakanak Hospital Hospital · Dillingham, AK

Colleagues at Health Services of Central Georgia

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 299 clinicians in the practice; 12 are shown here.

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