Farhad M Yazdi, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

047381 Issued in GA

Practice address

4205 Mundy Mill PL
Suite 1
Oakwood, GA 30566-2566

Phone

(770) 287-1140

Fax

(770) 534-2700

NPI assigned

Sep 28, 2006

Last updated

Mar 5, 2014By 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, CA2 enrollments

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 2

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Wellstreet of Georgia PC

  dba Piedmont Urgent Care

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  Medicare reassignment Care Compare group NPD
• Afc Physicians of Georgia, PC

  • Urgent Care Clinic/Center
  • Chamblee, GA
  • NPI 1982950671
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299

  Family Medicine

  Medicare reassignment NPD
• Afc Physicians of Georgia, PC

  dba AFC Physicians of GA, PC

  • General Practice Physician
  • Marietta, GA
  • NPI 1265879977
  NPD
• Afc Physicians of Georgia, PC

  • General Practice Physician
  • Columbus, GA
  • NPI 1982025318
  NPD
• Tri-Med Family Care, Inc

  dba North Georgia Health Care Center

  • Community/Retail Pharmacy
  • Ringgold, GA
  • NPI 1912144460
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510

  Family Medicine

  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1366534661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "30566",
            "telephone_number": "770-287-1140",
            "fax_number": "770-534-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 MUNDY MILL PL",
            "address_2": "SUITE 1",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662566",
            "telephone_number": "770-287-1140",
            "fax_number": "770-534-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDI",
        "first_name": "FARHAD",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "047381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00845446C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3627)
• Elizabeth Belle Wheeler, FNP-C
• Briauna Leigh Wielkopolan
• David Witman, PT
• Brittany Michelle Wroe, PHARMD
• Yogi Dental Group

• Family Medicine Physician in Oakwood, GA
• Providers in Oakwood, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.