Individual provider Active NPI

Amir H Aryaie, MD

  • Surgery Physician
  • Roswell, GA
National Provider Identifier
1780984658
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.125225 Issued in OH
Practice address
1105 Upper Hembree Rd Ste a
Roswell, GA 30076-0912
Phone
(678) 626-0909
NPI assigned
Oct 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 75376 GA
Student in an Organized Health Care Education/Training Program 390200000X 57.018576 OH
Surgery Physician 208600000X 35.125225 OH Primary

Addresses

Primary practice location

1105 Upper Hembree Rd Ste a
Roswell, GA 30076-0912

Mailing address

1105 Upper Hembree Rd Ste a
Roswell, GA 30076-0912
Phone (404) 512-6648

Other practice location 1

11100 Euclid Ave
Dept. of Surgery; LKS-5047
Cleveland, OH 44106-1716
Phone (404) 512-6648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20160822000099 TX Practitioner - General Surgery 8820308117 Reassigns benefits to 1 organization
I20200528003391 GA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 8820308117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bariatric and Minimally Invasive Surgical InstituteGroup PAC ID 6103239454, 2 clinicians

Practice addresses (Care Compare)

1800 Tree LN
Suite 280
Snellville, GA 30078-6798
Phone (678) 626-0909

2303 Cumberland Pkwy SE
Suite 2
Atlanta, GA 30339-7004
Phone (678) 626-0909

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.125225OHMDSurgery Physician
57.018576OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Aug 15, 2016 Accepting new patients
Bariatric and Minimally Invasive Surgical Institute Surgery CurrentSince Oct 1, 2020 Accepting new patients
Georgia Bmi Surgery Center CurrentSince Jun 22, 2024 Accepting new patients
Georgia Surgicare CurrentSince Jan 1, 2020 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Surgery CurrentSince Aug 15, 2016 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2303 Cumberland Pkwy SE
Ste 2
Atlanta, GA 30339
Phone (678) 626-0909

367 Athens Hwy
Ste 100
Loganville, GA 30052
Phone (676) 466-6760

367 Athens Hwy
Ste 100A
Loganville, GA 30052
Phone (678) 466-6760

1105 Upper Hembree Rd
Ste A
Roswell, GA 30076
Phone (678) 626-0909

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

3502 9th St
Ste 310
Lubbock, TX 79415
Phone (806) 743-4115

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

Organizations & group practices 7

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 4

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": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1780984658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 UPPER HEMBREE RD STE A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760912",
            "telephone_number": "404-512-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 UPPER HEMBREE RD STE A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760912",
            "telephone_number": "678-626-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_2": "Dept. of Surgery; LKS-5047",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "404-512-6648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARYAIE",
        "first_name": "AMIR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "75376",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57.018576",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.125225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.