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Omni Clinic PA

Exclusive Provider Organization in Jacksonville, NC · enumerated 2006 · authorized official Teresa Burkett, Office Supervisor.

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

National Provider Identifier

1790748960

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Registry record

Entity type Organization (Type 2)
Legal business name Omni Clinic PA
Practice address 22 Office Park Dr, Jacksonville, NC, 28546
Phone (910) 219-4070
Fax (910) 219-4071
Enumeration date Apr 10, 2006
Last updated in NPPES Aug 19, 2014

Taxonomy & classification

302F00000X Exclusive Provider Organization Managed Care Organizations · License 9901455 (NC) Primary

Authorized official

Name Teresa Burkett
Title Office Supervisor
Phone (910) 219-4070

Other identifiers

Identifier Type State Issuer
5909266 Medicaid NC -

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

What is the NPI number for Omni Clinic PA?
The NPI for Omni Clinic PA is 1790748960, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Omni Clinic PA?
NPPES lists Teresa Burkett (Office Supervisor) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-19.