Active NPI
Michael Mirzabeigi, MD
- Plastic and Reconstructive Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 080945
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
975 Johnson Ferry Nerd
Suite 100
Atlanta, GA 30342-1618
Phone (404) 256-1311
Hospital & facility affiliations
- Northside Hospital Forsyth
- Northside Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 44 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Plastic Surgery PC | Plastic Surgery | Current | 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.
-
- Plastic Surgery Physician
- Atlanta, GA
- NPI 1134104680
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.