Individual provider Active NPI

Michael Mirzabeigi, MD

  • Plastic and Reconstructive Surgery Physician
  • Atlanta, GA
National Provider Identifier
1366703258
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
080945 Issued in GA
Practice address
975 Johnson Fy Rd NE Ste 100
Atlanta, GA 30342-1618
Phone
(404) 256-1311
Fax
(404) 250-3377
NPI assigned
Jun 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 080945 GA
Plastic and Reconstructive Surgery Physician 2086S0122X 080945 GA Primary

Addresses

Primary practice location

975 Johnson Fy Rd NE Ste 100
Atlanta, GA 30342-1618

Mailing address

975 Johnson Fy Rd NE Ste 100
Atlanta, GA 30342-1618
Phone (404) 256-1311

Other practice location 1

1505 Northside Forsyth Dr
Suite 3800
Cumming, GA 30041
Phone (404) 256-1311

Other practice location 2

460 Northside Cherokee Blvd Ste 430
Canton, GA 30115-8020
Phone (404) 256-1311

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180821004098 GA Practitioner - Plastic and Reconstructive Surgery 6901155100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Plastic Surgery PCGroup PAC ID 7618961590, 4 clinicians

Practice addresses (Care Compare)

975 Johnson Ferry Nerd
Suite 100
Atlanta, GA 30342-1618
Phone (404) 256-1311

Hospital & facility affiliations

  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy44
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Plastic Surgery PC Plastic Surgery CurrentSince Aug 1, 2018 Accepting new patients

Locations

460 Northside Cherokee Blvd
Ste 430
Canton, GA 30115
Phone (678) 493-2527

975 Johnson Fy Rd NE
Ste 100
Sandy Springs, GA 30342
Phone (404) 255-8086

Organizations & group practices 1

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1366703258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FY RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421618",
            "telephone_number": "404-256-1311",
            "fax_number": "404-705-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FY RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421618",
            "telephone_number": "404-256-1311",
            "fax_number": "404-250-3377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Northside Forsyth Dr",
            "address_2": "Suite 3800",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "30041",
            "country_code": "US",
            "telephone_number": "404-256-1311",
            "fax_number": "404-250-3377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Northside Cherokee Blvd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301158020",
            "country_code": "US",
            "telephone_number": "404-256-1311",
            "fax_number": "404-250-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZABEIGI",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "080945",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "080945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.