South Atlanta Neurosurgery

Primary specialty

SpecialistTaxonomy code 174400000X

License

049939 Issued in GA

Legal business name

SOUTH ATLANTA NEUROSURGERY

Practice address

900 Eagles Landing Pkwy
Stockbridge, GA 30281-7343

Phone

(770) 997-0600

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Shahram Rezaiamiri, M.D.NPI 1225217920

Title

Physician

Phone

(770) 997-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

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

• Shahram Rezaiamiri, M.D.

  • Neurological Surgery Physician
  • Stockbridge, GA
  • NPI 1225217920
  Medicare reassignment Care Compare group Authorized official
• Harold Bradley Troxler, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Stockbridge, GA
  • NPI 1649409061
  Medicare reassignment Care Compare group
• Robert B Friedman, M.D.

  • Specialist
  • Stockbridge, GA
  • NPI 1730240227
  Medicare reassignment NPD
• Iqbal Hussain Dhanani, M.D.

  • Specialist
  • College Park, GA
  • NPI 1972674190
  NPD (past)
• Jose Mathew, DO, MPH

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lawrenceville, GA
  • NPI 1861654659
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1366621237",
    "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": "302817343",
            "telephone_number": "770-997-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "770-997-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ATLANTA NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "REZAIAMIRI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-997-0600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "049939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Ivelisse Sosa-Carlin, ED.D, NCC, LMHC, LPC
• Ashley Marie Soto
• Soul Solutions Therapeutic Services, LLC
• South Atlanta Ambulatory Surgical Center, LLC
• South Atlanta Neurology & Pain Clinic, PC
• South Atlanta Vascular Institute, LLC
• South Horizon Healthcare LLC
• South Metro Bone & Joint PC
• South Metro Rehab and Sports Medicine, LLC
• Southern Compassion Home Care LLC

• Specialist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.