Zahra Alavi, NP
Individual provider Active NPI Gerontology Nurse Practitioner · Cumming, GA
NPI 1003680109 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1003680109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- RN258676 (GA)
- Practice address
- 980 Sanders Rd Ste 100
Cumming, GA 30041-5977 - Phone
- (770) 886-1074
- Fax
- (770) 205-4717
- NPI assigned
- Nov 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Select Rehabilitation, LLC
Practice addresses (Care Compare)
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022
2600 Compass Rd
Glenview, IL 60026-8001
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231227001056 | GA | Practitioner - Nurse Practitioner | 5890145247 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
55 Whitcher St NE
Ste 350
Marietta, GA 30060
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHDBED/Endpoint/IHDBED
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN258676 | GA | |
| Gerontology Nurse Practitioner | 363LG0600X | RN258676 | GA | Yes |
Addresses
Primary practice location
980 Sanders Rd Ste 100
Cumming, GA 30041-5977
Mailing address
980 Sanders Rd Ste 100
Cumming, GA 30041-5977
Phone (770) 886-1074
Other providers in Cumming, GA
- Aim Primary Care, LLC
- Anna Kathryn Akin
- Jummai Folashade Akinrinmade
- Andree Akst
- Loulia Al Bitar
- Clive Albert
- Bernadette B Alcala
- Joel Francisco Alcoba
- Alderdice Sports & Family Chiropractic, PC
- Lorissa Alexander
All providers in Cumming, GA · Gerontology Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.