Organization Active NPI

Jafar Tabatabi, M.D, P.C.

  • Family Medicine Physician
  • Stone MTN, GA
National Provider Identifier
1275712606
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
014868 Issued in GA
Legal business name
JAFAR TABATABI, M.D, P.C.
Practice address
1037 Third St
Stone MTN, GA 30083-3025
Phone
(770) 469-8874
Fax
(770) 879-0317
NPI assigned
Nov 1, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Jafar Tabatabai, M.D.
Title
President
Phone
(770) 469-8874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 014868 GA Primary

Addresses

Primary practice location

1037 Third St
Stone MTN, GA 30083-3025

Mailing address

1037 Third St
Stone MTN, GA 30083-3025
Phone (770) 469-8874

National Provider Directory

National Provider Directory

Locations

207 Edgewood Ave SE
Atlanta, GA 30303
Phone (404) 523-0805

1037 Third St
Stone Mtn, GA 30083
Phone (770) 469-8874

7961 Highway 92
Ste 100
Woodstock, GA 30189
Phone (770) 549-8882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1275712606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 THIRD ST",
            "city": "STONE MTN",
            "state": "GA",
            "postal_code": "300833025",
            "telephone_number": "770-469-8874",
            "fax_number": "770-879-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 THIRD ST",
            "city": "STONE MTN",
            "state": "GA",
            "postal_code": "300833025",
            "telephone_number": "770-469-8874",
            "fax_number": "770-879-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFAR TABATABI, M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "TABATABAI",
        "authorized_official_first_name": "JAFAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-469-8874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "014868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone MTN, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.