Active NPI
Fares Hosseinzadeh
- Family Medicine Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 105392
- Practice address
- 11180 State Bridge Rd Ste 404
Alpharetta, GA 30022-7484 - Phone
- (770) 252-2220
- NPI assigned
- Apr 2, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 105392 | GA | Primary |
Addresses
Primary practice location
11180 State Bridge Rd Ste 404
Alpharetta, GA 30022-7484
Mailing address
11180 State Bridge Rd Ste 404
Johns Creek, GA 30022-7484
Phone (770) 252-2220
Other practice location 1
1101 Nortec Dr SE
Conyers, GA 30013-5835
Phone (678) 374-7514
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Nortec Dr SE
Conyers, GA 30013-5835
Phone (770) 914-0116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105392 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiefhoss LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Current | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Current | Accepting new patients |
| Benning Hospitalist Services, LLC | Current | Accepting new patients | |
| Muscogee Hospitalist Services, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1101 Nortec Dr SE
Conyers, GA 30013
Phone (678) 374-7514
11180 State Bridge Rd
Ste 404
Johns Creek, GA 30022
Phone (678) 319-0110
1240 Eagles Landing Pkwy
Ste 110
Stockbridge, GA 30281
Phone (770) 389-3855
145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBJIDD/Endpoint/DBJIDD
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
- Hospitalist Physician
- Columbus, GA
- NPI 1215442173
-
- Hospitalist Physician
- Columbus, GA
- NPI 1639681851
-
- Primary Care Clinic/Center
- Alpharetta, GA
- NPI 1972480267
-
- Diagnostic Radiology Physician
- Locust Grove, GA
- NPI 1194433219
-
- Family Medicine Physician
- McDonough, GA
- NPI 1770744450
-
- Family Medicine Physician
- Ellenwood, GA
- NPI 1447290218
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1760123046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11180 STATE BRIDGE RD STE 404",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300227484",
"telephone_number": "770-252-2220",
"fax_number": "855-538-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11180 STATE BRIDGE RD STE 404",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300227484",
"telephone_number": "770-252-2220"
}
],
"practiceLocations": [
{
"address_1": "1101 Nortec Dr SE",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300135835",
"country_code": "US",
"telephone_number": "678-374-7514",
"fax_number": "678-374-7517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOSSEINZADEH",
"first_name": "FARES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-02",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "105392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.