Omega Physician Practice LLC
NPI 1013658467 · Anesthesiology Physician · Kennesaw, GA
Omega Physician Practice LLC is a Anesthesiology Physician organization in Kennesaw, GA (NPI 1013658467).
Provider details
- NPI number
- 1013658467
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rudolph Davis, Anesthesiologist(205) 317-8437
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-07
- Last updated
- 2022-04-07
- Certified
- 2022-04-07
Frequently asked questions
- What is Omega Physician Practice LLC's NPI number?
- Omega Physician Practice LLC's National Provider Identifier (NPI) is 1013658467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Omega Physician Practice LLC?
- Omega Physician Practice LLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Omega Physician Practice LLC located?
- Omega Physician Practice LLC's practice location on file with NPPES is 1300 Ridenour Blvd Nw, Kennesaw, GA 30152-4501.
- What is Omega Physician Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Omega Physician Practice LLC is (770) 702-1806.
- Who is the authorized official for Omega Physician Practice LLC?
- The authorized official listed on Omega Physician Practice LLC's NPPES record is Rudolph Davis, Anesthesiologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Omega Physician Practice LLC's NPI active?
- Yes — Omega Physician Practice LLC's NPI (1013658467) is active in the NPPES registry as of the last update on 2022-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.