Active NPI
Mehrab Jonathon Zarian-Dero, P.A
- Medical Physician Assistant
- Norcross, GA
National Provider Identifier
1700903135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 002434
- Practice address
- 5775 Jimmy Carter Blvd
#200
Norcross, GA 30071-2989 - Phone
- (678) 646-3627
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 002434 | GA | Primary |
Addresses
Primary practice location
5775 Jimmy Carter Blvd
#200
Norcross, GA 30071-2989
Mailing address
459 Rock Springs Rd NE
Atlanta, GA 30324-5101
Phone (404) 875-6288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002434 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Cardiovascular Surgeons at Saint Joseph'S LLC | Past | Accepting new patients | |
| Peachatree Cardiovascular & Thoracic Surgeons, P.a. | Past | Accepting new patients | |
| Surgical Assistants of America, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1093021172
-
- Surgery Physician
- Duluth, GA
- NPI 1417977885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700903135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 ROCK SPRINGS RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303245101",
"telephone_number": "404-875-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 JIMMY CARTER BLVD",
"address_2": "#200",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712989",
"telephone_number": "678-646-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARIAN-DERO",
"first_name": "MEHRAB",
"middle_name": "JONATHON",
"name_prefix": "Mr.",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "002434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.