# OMS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104339324
- **Authorized official:** OMID MIDANAKY PA-C (PRESIDENT)
- **Authorized official phone:** (404) 704-2813

## Contact information

- **Practice address:** 2801 N DECATUR RD, DECATUR, GA 30033-5949
- **Practice address phone:** (404) 296-5005
- **Mailing address:** 810 WHISPERWOOD TRL, ACWORTH, GA 30102-7586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 8538 | GA | Yes |

## Other

- **Enumeration date:** 11/09/2017
- **Last updated:** 11/09/2017