Individual provider Active NPI

Behraz Alipoorabedi, NP

  • Family Nurse Practitioner
  • Austell, GA
National Provider Identifier
1609500347
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN255454 Issued in GA
Practice address
4444 Austell Rd
Austell, GA 30106-1844
Phone
(678) 460-2700
Fax
(877) 784-4013
NPI assigned
Jul 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN255454 GA Primary

Addresses

Primary practice location

4444 Austell Rd
Austell, GA 30106-1844

Mailing address

4444 Austell Rd
Austell, GA 30106-1844
Phone (678) 460-2700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325003236 GA Practitioner - Nurse Practitioner 5890270086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Harbison Way
Suite 222
Columbia, SC 29212-3408

4444 Austell Rd
Austell, GA 30106-1844

Hospital & facility affiliations

  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN255454GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Nephrology Hypertension Associates, PC PastSince Feb 3, 2026 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHBDA

Organizations & group practices 1

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 1

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": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1609500347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061844",
            "telephone_number": "678-460-2700",
            "fax_number": "877-784-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061844",
            "telephone_number": "678-460-2700",
            "fax_number": "877-784-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIPOORABEDI",
        "first_name": "BEHRAZ",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN255454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.