Kyriakos Tarasidis, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

046916 Issued in GA

Practice address

4575 North Shallowford Road
Dunwoody, GA 30338

Phone

(770) 454-4286

Fax

(770) 454-4065

NPI assigned

May 24, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Anesthesiology

Education

Emory University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Anesthesiology Associates PAGroup PAC ID 3971566761, 218 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Providence Anesthesiology Associates, P.a.

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1396739884
  Medicare reassignment Care Compare group NPD
• Cobb Anesthesia, PC

  • Anesthesiologist Assistant
  • Austell, GA
  • NPI 1811944705

  Anesthesiology

  NPD (past)
• Newnan Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1033300298
  NPD (past)
• Tri-County Anesthesia, LLC

  • Anesthesiology Physician
  • Douglasville, GA
  • NPI 1073687422
  NPD (past)
• Allcare Clinical Associates PA

  • Certified Registered Nurse Anesthetist
  • Asheville, NC
  • NPI 1437286291
  NPD (past)
• Greensboro Anesthesia Physicians,PC

  • Anesthesiology Physician
  • Greensboro, NC
  • NPI 1427008440
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568417715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 ROLLING HILL RD",
            "address_2": "STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176865",
            "telephone_number": "770-578-1800",
            "fax_number": "770-578-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 NORTH SHALLOWFORD ROAD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-454-4286",
            "fax_number": "770-454-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASIDIS",
        "first_name": "KYRIAKOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "046916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812683459A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talbott Dunwoody
• Talbott Recovery Campus (Talbott at Dunwoody)
• Sarah Sherrod Taliaferro, PT, DPT
• Lisa Welch Tallant, PSYD
• Jessica Tallman, PT, DPT
• Tascha Jenkins
• Alicia L Taylor, PHARM.D.
• Elizabeth Teel
• Teg Inc. (The Eye Gallery)
• Sandy Kaye Templeton, LMT

• Anesthesiology Physician in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.