Individual provider Active NPI

Abdurrehman Amin Zahran, M.D.

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1396009007
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
080957 Issued in GA
Practice address
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone
(404) 851-6323
NPI assigned
Jun 27, 2012
Last updated
May 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R2510 TX
Diagnostic Radiology Physician 2085R0202X 080957 GA Primary

Addresses

Primary practice location

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Mailing address

5605 Glenridge Dr Ste 325
Atlanta, GA 30342-1365
Phone (678) 553-7783

Other practice location 1

1214 Edenham Ln
Cumming, GA 30041
Phone (952) 595-1100

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
I20180912000265 GA Practitioner - Diagnostic Radiology 4082903679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 662-2438

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2510TXMDDiagnostic Radiology Physician
005476GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 28, 2019 Accepting new patients
Northside Imaging LLC Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients

Locations (25 of 44)

3300 Old Milton Pkwy
Ste 150
Alpharetta, GA 30005

3400 Old Milton Pkwy
Ste C110
Alpharetta, GA 30005

845 Prince Ave
Athens, GA 30606
Phone (706) 549-1118

1110 W Peachtree St NW
Ste 900
Atlanta, GA 30309
Phone (404) 875-2640

3200 Downwood Cir NW
Ste 140
Atlanta, GA 30327
Phone (404) 352-0444

3200 Professional Pkwy SE
Ste 120
Atlanta, GA 30339
Phone (770) 933-1963

4700 Nelson Brogdon Blvd
Ste 100
Buford, GA 30518

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

2287 Salem Rd SE
Conyers, GA 30013
Phone (770) 760-0660

100 Mountain View Dr
#200
Cumming, GA 30040
Phone (770) 205-8800

1100 Northside Forsyth Dr
Ste 130
Cumming, GA 30041

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

1800 Northside Forsyth Dr
Ste 160
Cumming, GA 30041

2000 Howard Farm Dr
Ste 150
Cumming, GA 30041

2545 Lawrenceville Hwy
Ste 250
Decatur, GA 30033
Phone (770) 938-9420

2859 N Decatur Rd
Decatur, GA 30033
Phone (404) 329-0656

638 441 Historic Hwy N
Ste D
Demorest, GA 30535
Phone (706) 454-9900

6095 Professional Pkwy
Ste B101
Douglasville, GA 30134
Phone (770) 947-8100

1240 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501

425 Broad St SE
Gainesville, GA 30501
Phone (770) 718-9776

684 Sixes Rd
Ste 100
Holly Springs, GA 30115

11459 Johns Creek Pkwy
Ste 120
Johns Creek, GA 30097
Phone (678) 584-2210

6630 McGinnis Ferry Rd
Ste D
Johns Creek, GA 30097
Phone (770) 622-9158

555 Old Norcross Rd
Ste 115
Lawrenceville, GA 30046
Phone (404) 277-1502

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1396009007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 GLENRIDGE DR STE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421365",
            "telephone_number": "678-553-7783",
            "fax_number": "678-553-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-6323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1214 Edenham Ln",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "30041",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAHRAN",
        "first_name": "ABDURREHMAN",
        "middle_name": "AMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R2510",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "080957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.