Individual provider Active NPI

Kambiz Aflatoon, D.O.

  • Addiction Psychiatry Physician
  • Lawrenceville, GA
National Provider Identifier
1598032682
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
66238 Issued in GA
Practice address
250 Scenic Hwy
Lawrenceville, GA 30046-5675
Phone
(678) 442-5851
NPI assigned
Nov 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 66238 GA Primary

Addresses

Primary practice location

250 Scenic Hwy
Lawrenceville, GA 30046-5675

Mailing address

250 Scenic Hwy
Lawrenceville, GA 30046-5675
Phone (678) 442-5851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120906000453 GA Practitioner - Psychiatry 7719134295 Reassigns benefits to 2 organizations
I20151130001939 ID Practitioner - PsychiatryPractitioner - Addiction Medicine 7719134295

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

925 Sanders Rd
Suite B
Cumming, GA 30041-7945
Phone (678) 261-7671

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66238GAMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Health Services, LLC Current Accepting new patients
New Focus Addiction and Behavioral Health Inc Addiction Psychiatry CurrentSince Dec 17, 2013 Accepting new patients
New Focus Addiction and Behavioral Health Inc Past Accepting new patients

Locations

925 Sanders Rd
Ste B
Cumming, GA 30041
Phone (678) 261-7671

70 Ansley Dr
Dahlonega, GA 30533
Phone (706) 864-7904

885 Buford Dr
Lawrenceville, GA 30043
Phone (678) 261-7671

367 Athens Hwy
Ste 1050
Loganville, GA 30052
Phone (678) 293-8907

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1598032682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465675",
            "telephone_number": "678-442-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465675",
            "telephone_number": "678-442-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFLATOON",
        "first_name": "KAMBIZ",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "GA",
            "license": "66238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.