Individual provider Active NPI

Nahideh S Pazhouhesh, NP

  • Family Nurse Practitioner
  • Sandy Springs, GA
National Provider Identifier
1730990847
Registry record updated Jun 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN231409 Issued in GA
Practice address
5665 Peachtree Dunwoody Rd
Sandy Springs, GA 30342-1701
Phone
(678) 377-5240
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 RN231409 GA Primary

Addresses

Primary practice location

5665 Peachtree Dunwoody Rd
Sandy Springs, GA 30342-1701

Mailing address

976 Mansell Rd
Roswell, GA 30076-1533
Phone (770) 800-3277

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
I20251017004390 GA Practitioner - Nurse Practitioner 6901394329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icecare LLCGroup PAC ID 6800237942, 3 clinicians

Practice addresses (Care Compare)

976 Mansell Rd
Roswell, GA 30076-1533
Phone (770) 800-3277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN231409GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icecare LLC CurrentSince Sep 1, 2025 Accepting new patients
Careici LLC Past Accepting new patients

Locations

976 Mansell Rd
Roswell, GA 30076
Phone (770) 800-3277

976 Mansell Rd
Ste 500
Roswell, GA 30076
Phone (770) 800-3277

Organizations & group practices 2

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780790400000",
    "number": "1730990847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 MANSELL RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761533",
            "telephone_number": "770-800-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 PEACHTREE DUNWOODY RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421701",
            "telephone_number": "678-377-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZHOUHESH",
        "first_name": "NAHIDEH",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN231409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.