Individual provider Active NPI

Paul Pedram Daraei, M.D.

  • Facial Plastic Surgery Physician
  • Alpharetta, GA
National Provider Identifier
1750709770
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
84724 Issued in GA
Practice address
3330 Preston Ridge Rd Ste 380
Alpharetta, GA 30005-4596
Phone
(678) 208-6008
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 7169 GA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 37848 AL
Facial Plastic Surgery Physician 207YS0123X 84724 GA Primary

Addresses

Primary practice location

3330 Preston Ridge Rd Ste 380
Alpharetta, GA 30005-4596

Mailing address

304 Meadowbrook Dr
Atlanta, GA 30342-3312
Phone (949) 232-3653

Other practice location 1

550 Peachtree St NE
Medical Office Towers 11th Floor, Suite 1135
Atlanta, GA 30308-2208
Phone (404) 778-2178

Other practice location 2

2700 Highway 280 S Ste 300
Mountain Brk, AL 35223-2445
Phone (205) 930-9595

Other practice location 3

6085 Barfield Rd Ste 100
Atlanta, GA 30328-4403
Phone (770) 457-6303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 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
I20200326000092 AL Practitioner - Otolaryngology 7113220724 Reassigns benefits to 1 organization
I20200818003331 GA Practitioner - Otolaryngology 7113220724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Emory University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (770) 255-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7169GAMDOtolaryngology Physician
37848ALMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rousso Facial Plastic Surgery Clinic PC CurrentSince Oct 1, 2019 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Oct 16, 2023 Accepting new patients
Astra Plastic Surgery Center, LLC CurrentSince Jul 17, 2024 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Apr 21, 2024 Accepting new patients
Northside Surgical Professional Services LLC PastSince Jun 16, 2017 Accepting new patients

Locations

2700 Highway 280 S
Ste 300W
Mountain Brk, AL 35223
Phone (205) 930-9595

2700 Highway 280 S
Ste 300
Mountain Brk, AL 35223
Phone (205) 930-9595

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

3330 Preston Ridge Rd
Ste 390
Alpharetta, GA 30005
Phone (678) 208-6008

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Organizations & group practices 5

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1750709770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MEADOWBROOK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423312",
            "telephone_number": "949-232-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD STE 380",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054596",
            "telephone_number": "678-208-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Peachtree St NE",
            "address_2": "Medical Office Towers 11th Floor, Suite 1135",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082208",
            "country_code": "US",
            "telephone_number": "404-778-2178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Highway 280 S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mountain Brk",
            "state": "AL",
            "postal_code": "352232445",
            "country_code": "US",
            "telephone_number": "205-930-9595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6085 Barfield Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284403",
            "country_code": "US",
            "telephone_number": "770-457-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARAEI",
        "first_name": "PAUL",
        "middle_name": "PEDRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "7169",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AL",
            "license": "37848",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "GA",
            "license": "84724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.