Individual provider Active NPI

Kiana Nezafat, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1396206637
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
95526 Issued in GA
Practice address
5780 Peachtree Dunwoody Rd Ste 295
Atlanta, GA 30342-1544
Phone
(404) 255-0621
NPI assigned
Mar 28, 2019
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 95526 GA Primary

Addresses

Primary practice location

5780 Peachtree Dunwoody Rd Ste 295
Atlanta, GA 30342-1544

Mailing address

5780 Peachtree Dunwoody Rd Ste 295
Atlanta, GA 30342-1544
Phone (404) 255-0621

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
I20250203003541 GA Practitioner - Obstetrics/Gynecology 1951630854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Women's Health Group PCGroup PAC ID 1951396639, 61 clinicians

Practice addresses (Care Compare)

5780 Peachtree Dunwoody Rd
Suite 300
Atlanta, GA 30342-1513
Phone (404) 303-8035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women's Health Group, P.C. Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Atlanta Women's Health Group, P.C. CurrentSince Jan 1, 2025 Accepting new patients
Northside Northpoint OB GYN 2 LLC Obstetrics & Gynecology Past Accepting new patients
Obstetrics & Gynecology of Atlanta II LLC Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

3905 Brookside Pkwy
Ste 102
Alpharetta, GA 30022
Phone (470) 394-2657

5780 Peachtree Dunwoody Rd
Sandy Springs, GA 30342
Phone (404) 255-0621

5780 Peachtree Dunwoody Rd
Ste 175
Sandy Springs, GA 30342
Phone (678) 651-2840

5780 Peachtree Dunwoody Rd
Ste 295
Sandy Springs, GA 30342
Phone (404) 255-0621

5780 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-1137

3360 Paddocks Pkwy
Suwanee, GA 30024
Phone (770) 282-4802

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1396206637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 295",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421544",
            "telephone_number": "404-255-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 295",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421544",
            "telephone_number": "404-255-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZAFAT",
        "first_name": "KIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "95526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.