Individual ProviderUmmar JamalInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 Oglethorpe Ave Ste 200d, Athens, GA 30606-2165(706) 389-3875(706) 389-3860PECOS EnrollmentBased on the most recent information from CMS, provider Ummar Jamal is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1770233082Provider TypeIndividualFull NameJamal, UmmarGenderMaleSole ProprietorNoEnumeration Date3/28/2022Last Updated8/1/2022Contact InformationPractice LocationPractice Address1500 Oglethorpe Ave Ste 200d, Athens, GA 30606-2165Phone(706) 389-3875Fax(706) 389-3876Mailing LocationMailing Address1230 Baxter St, Athens, GA 30606-3712Phone(706) 389-3860Fax(706) 389-3861Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense13704GeorgiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer