NPI age
13 years
Enumerated 2012-11-19
● Active
Type 1 · Individual
Omar S Queensbourrow, PA
Queensbourrow is 1 of 280 physician assistant providers in Atlanta and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-08-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
13 years
↓ 2 yr below median (15 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-11Enumerated in NPPES
2012
2026
Where they practice
Practice location
5185 Old National Hwy
Atlanta, GA 303493244
Mailing address
198 Greenview Ter
MacOn, GA 312208755
Additional practice locations
1 secondary location on file with NPPES.
Location 2
6053 Jonesboro Rd
Morrow, GA 302601106
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Atlanta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.