Shahram Rezaiamiri, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

049939 Issued in GA

Practice address

900 Eagles Landing Pkwy
South Atlanta Neurosurgery
Stockbridge, GA 30281

Phone

(770) 997-0600

Fax

(770) 991-5576

NPI assigned

Oct 30, 2007

Reactivated

Nov 1, 2007

Last updated

Jul 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurosurgery

Education

University of Rochester School of Medicine and Dentistry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Atlanta NeurosurgeryGroup PAC ID 6608853247, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABDIAA/Endpoint/ABDIAA
• FHIR API: https://fhir4.healow.com/fhir/r4/AJJIBD/Endpoint/AJJIBD
• FHIR API: https://fhir4.healow.com/fhir/r4/DJHFDD/Endpoint/DJHFDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Atlanta Neurosurgery

  • Specialist
  • Stockbridge, GA
  • NPI 1366621237
  Medicare reassignment Care Compare group Authorized official
• Minimally Invasive Neurospine and Pain Institute, P.C.

  dba AllSpine Surgery Center, P.C.

  • Ambulatory Surgical Clinic/Center
  • Stockbridge, GA
  • NPI 1215204128
  NPD (past) Authorized official
• Minimally Invasive Neurospine and Pain Institute, PC

  dba AllSpine Surgery center

  • Ambulatory Surgical Clinic/Center
  • Riverdale, GA
  • NPI 1255607628
  Authorized official Same address or phone
• Laser Spine Center, LLC

  • Neurological Surgery Physician
  • Los Angeles, CA
  • NPI 1114758588
  Authorized official Same address or phone
• Laser Spine Surgery Center, LLC

  • Neurological Surgery Physician
  • Los Angeles, CA
  • NPI 1912738386
  Authorized official Same address or phone
• Allspine Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Stockbridge, GA
  • NPI 1114480704
  NPD
• Allspine Surgery Center-2 LLC

  • Neurological Surgery Physician
  • Decatur, GA
  • NPI 1740758358
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1225217920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-997-0600",
            "fax_number": "770-991-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EAGLES LANDING PKWY",
            "address_2": "SOUTH ATLANTA NEUROSURGERY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-997-0600",
            "fax_number": "770-991-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAIAMIRI",
        "first_name": "SHAHRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2015-07-27",
        "deactivation_date": "2007-10-30",
        "reactivation_date": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "049939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000908641A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revivify Medical Supply LLC
• Rey of Life Homecare Services LLC
• Elysia Hymon Reynolds, DNP, APRN, FNP-C
• Erica Reynolds
• Michael Paul Errington Reynolds
• Yolanda Rhetta, PHARM.D., RPH.
• Kyoo Ricard, MD
• Qunisha T Richard, RBT
• Kendra Sherrice Richardson
• Selina Maria Richardson, RN, IBCLC

• Neurological Surgery Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.