OrganizationActive
Omni Clinic PA
NPI 1790748960 · Exclusive Provider Organization · Jacksonville, NC
Provider details
- NPI number
- 1790748960
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Teresa Burkett, Office Supervisor(910) 219-4070
- License
- 9901455 (NC)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
22 Office Park Dr
Jacksonville, NC 28546-7325
Phone: (910) 219-4070
Fax: (910) 219-4071
Street-level locationGet directions
Mailing address
Po Box 12353
Jacksonville, NC 28546-2353
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2014-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.