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Omega Physician Practice LLC

Anesthesiology Physician in Kennesaw, GA · enumerated 2022 · authorized official Rudolph Davis, Anesthesiologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013658467

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Registry record

Entity type Organization (Type 2)
Legal business name Omega Physician Practice LLC
Practice address 1300 Ridenour Blvd Nw, Kennesaw, GA, 30152
Enumeration date Apr 7, 2022
Last updated in NPPES Apr 7, 2022

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Rudolph Davis
Title Anesthesiologist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-04-07. Verify at npiregistry.cms.hhs.gov.
Where is Omega Physician Practice LLC located?
The practice location on file with NPPES is in Kennesaw, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-07.