Individual provider Active NPI

Bahar H. Zadeh, MD

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1801056569
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
074932 Issued in GA
Practice address
3400 Old Milton Pkwy
Ste A130
Alpharetta, GA 30005-3707
Phone
(770) 664-8898
Fax
(770) 772-4377
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A102753 CA
Family Medicine Physician 207Q00000X 074932 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy
Ste A130
Alpharetta, GA 30005-3707

Mailing address

3400 Old Milton Pkwy
Ste A130
Alpharetta, GA 30005-3707
Phone (770) 664-8898

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209000693 GA Practitioner - Family Practice 2961554886 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102753CAMDFamily Medicine Physician
074932GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter North Family Practice LLC Family Medicine CurrentSince Apr 11, 2017 Accepting new patients
Perimeter Professional Services, LLC Family Medicine CurrentSince Apr 11, 2017 Accepting new patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Feb 15, 2015 Accepting new patients

Locations

3550 Preston Ridge Rd
Alpharetta, GA 30005
Phone (770) 663-3122

3400 Old Milton Pkwy
Ste 130
Alpharetta, GA 30005
Phone (770) 664-8898

3400 Old Milton Pkwy
Ste A130
Alpharetta, GA 30005
Phone (770) 664-8898

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Interoperability endpoints

  • Direct secure messaging: baharzadeh@pnfm.allscriptsdirect.net
  • Direct secure messaging: ms_bzadeh1@landmarkhealth-direct.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1801056569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY",
            "address_2": "STE A130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "770-664-8898",
            "fax_number": "770-772-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY",
            "address_2": "STE A130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "770-664-8898",
            "fax_number": "770-772-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "BAHAR",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A102753",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "074932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.