Individual provider Active NPI

Ali Nourbakhsh, MD

  • Orthopaedic Surgery Physician
  • Stockbridge, GA
National Provider Identifier
1417272709
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
68258 Issued in GA
Practice address
1240 Eagles Landing Pkwy Ste 300
Stockbridge, GA 30281-5173
Phone
(770) 506-4350
Fax
(770) 506-9860
NPI assigned
Mar 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 68258 GA Primary

Addresses

Primary practice location

1240 Eagles Landing Pkwy Ste 300
Stockbridge, GA 30281-5173

Mailing address

900 Circle 75 Pkwy SE Ste 1700
Atlanta, GA 30339-3087

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
I20180821001939 GA Practitioner - Orthopedic Surgery 4284861774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians
Matrix Rehabilitation-Georgia IncGroup PAC ID 2567379498, shared by 4 NPIs, 40 clinicians

Practice addresses (Care Compare)

1240 Eagles Landing Pkwy
Suite 300
Stockbridge, GA 30281-5173
Phone (770) 953-6929

234 Jonesboro Rd
McDonough, GA 30253-3720
Phone (770) 954-9631

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion84
Laminectomy or laminotomy (partial removal of spine bones)29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68258GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Orthopedics, LLC Orthopaedic Surgery CurrentSince Sep 1, 2023 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Sep 1, 2023 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Current Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Sep 1, 2023 Accepting new patients
Piedmont Henry Hospital, Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients

Locations (25 of 37)

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1800 Howell Mill Rd NW
Ste 200
Atlanta, GA 30318
Phone (404) 352-1015

455 Legends Pl SE
Ste 890
Atlanta, GA 30339
Phone (404) 418-9090

900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3672 Marathon Cir
Ste 100
Austell, GA 30106
Phone (678) 945-8525

3672 Marathon Cir
Ste 200
Austell, GA 30106
Phone (770) 944-3303

3672 Marathon Cir
Ste 120
Austell, GA 30106
Phone (678) 945-8551

3929 Peachtree Rd NE
Ste 250
Brookhaven, GA 30319
Phone (404) 352-1053

3929 Peachtree Rd NE
Ste 220
Brookhaven, GA 30319
Phone (678) 684-2220

2976 Chapel Hill Rd
Ste 200
Douglasville, GA 30135
Phone (770) 949-8558

465 N Belair Rd
Ste 3C
Evans, GA 30809
Phone (706) 620-3635

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

1265 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (404) 785-8785

6300 Hospital Pkwy
Ste 140
Johns Creek, GA 30097
Phone (404) 357-0456

6300 Hospital Pkwy
Ste 475
Johns Creek, GA 30097
Phone (678) 205-4298

6300 Hospital Pkwy
Ste 400
Johns Creek, GA 30097
Phone (678) 205-4261

771 Old Norcross Rd
Ste 390
Lawrenceville, GA 30046
Phone (678) 957-0757

771 Old Norcross Rd
Ste 155
Lawrenceville, GA 30046
Phone (678) 957-0757

440 Charter Blvd
Ste 3302
Macon, GA 31210
Phone (478) 405-7977

420 Charter Blvd
Ste 401
Macon, GA 31210
Phone (478) 200-5710

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

101 Regency Park Dr
Ste 120
McDonough, GA 30253
Phone (678) 214-6111

2151 W Spring St
Ste B140
Monroe, GA 30655
Phone (678) 214-6118

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4
  • Direct secure messaging: ali.nourbakhsh.p47@direct.tenet.nextgenshare.com
  • Direct secure messaging: anourbakhsh172158@directwellstar.org
  • Direct secure messaging: ali.nourbakhsh.p48@direct.tenet.nextgenshare.com

Organizations & group practices 7

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 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": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1417272709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE STE 1700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 EAGLES LANDING PKWY STE 300",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815173",
            "telephone_number": "770-506-4350",
            "fax_number": "770-506-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURBAKHSH",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "68258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.