Organization Active NPI

Jawomfs, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
National Provider Identifier
1326479544
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN013474 Issued in GA
Legal business name
JAWOMFS, LLC
Practice address
600 Galleria Pkwy SE
Suite 800
Atlanta, GA 30339-5992
Phone
(404) 433-8433
Fax
(866) 571-1330
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Dr. Abtin Shahriari, DMDNPI 1255517769
Title
Owner / Oral Surgeon
Phone
(404) 433-8433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN013474 GA Primary

Addresses

Primary practice location

600 Galleria Pkwy SE
Suite 800
Atlanta, GA 30339-5992

Mailing address

425 Peachtree Pkwy.
Suite 340
Cumming, GA 30041
Phone (404) 433-8433

National Provider Directory

National Provider Directory

Locations

425 Peachtree Pkwy
Ste 340
Cumming, GA 30041
Phone (404) 433-8433

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1326479544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PEACHTREE PKWY.",
            "address_2": "SUITE 340",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "404-433-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GALLERIA PKWY SE",
            "address_2": "SUITE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395992",
            "telephone_number": "404-433-8433",
            "fax_number": "866-571-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAWOMFS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "SHAHRIARI",
        "authorized_official_first_name": "ABTIN",
        "authorized_official_title_or_position": "OWNER / ORAL SURGEON",
        "authorized_official_telephone_number": "404-433-8433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN013474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.