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Royal Blue Medical Center Ga. Inc

General Practice Physician in Lawrenceville, GA · enumerated 2019 · authorized official Omar Ellison, Owner.

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

National Provider Identifier

1942845417

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Registry record

Entity type Organization (Type 2)
Legal business name Royal Blue Medical Center Ga. Inc
Other name <Unavail>
Practice address 555 Old Norcross Rd Ste 100, Lawrenceville, GA, 30046
Phone (704) 277-1750
Enumeration date Nov 8, 2019
Last updated in NPPES Sep 8, 2020

Taxonomy & classification

2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
2083S0010X Sports Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
261QP3300X Pain Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Omar Ellison
Title Owner
Phone (704) 277-1750

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

Who is the authorized official for Royal Blue Medical Center Ga. Inc?
NPPES lists Omar Ellison (Owner) as the authorized official for this organization.
What is the NPI number for Royal Blue Medical Center Ga. Inc?
The NPI for Royal Blue Medical Center Ga. Inc is 1942845417, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-08.