Individual provider Active NPI

Georgi Zohrabyan, DMD

  • Dentist
  • Duluth, GA
National Provider Identifier
1407214752
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857137 Issued in MA
Practice address
1815 Satellite Blvd Ste 401
Duluth, GA 30097-5239
Phone
(770) 813-1200
NPI assigned
Feb 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857137 MA Primary
Dentist 122300000X DN015039 GA

Addresses

Primary practice location

1815 Satellite Blvd Ste 401
Duluth, GA 30097-5239

Mailing address

1815 Satellite Blvd Ste 401
Duluth, GA 30097-5239
Phone (770) 813-1200

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912002156 GA Order and Referring Only - DentistPractitioner - Dentist 8426344748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN015039GAMDDentist
DN1857137MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1407214752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SATELLITE BLVD STE 401",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975239",
            "telephone_number": "770-813-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SATELLITE BLVD STE 401",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975239",
            "telephone_number": "770-813-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHRABYAN",
        "first_name": "GEORGI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-02",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857137",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.