Individual provider Active NPI

Fariba Sohrabi, DNP

  • Family Nurse Practitioner
  • Clarkston, GA
National Provider Identifier
1871427641
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP315548 Issued in GA
Practice address
4600 E Ponce de Leon Ave Ste a
Clarkston, GA 30021-1839
Phone
(801) 200-2872
NPI assigned
Jun 9, 2026
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 NP315548 GA Primary

Addresses

Primary practice location

4600 E Ponce de Leon Ave Ste a
Clarkston, GA 30021-1839

Mailing address

1909 Enfield CT
Conyers, GA 30013-7417
Phone (801) 200-2872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 E Ponce de Leon Ave
Suite a
Clarkston, GA 30021-1839

4600 E Ponce de Leon Ave a
Clarkston, GA 30021-1839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkston Primary & Urgent Care, LLC CurrentSince Mar 23, 2024 Accepting new patients

Locations

4600 E Ponce de Leon Ave
Ste A
Clarkston, GA 30021
Phone (678) 705-9685

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1871427641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 ENFIELD CT",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300137417",
            "telephone_number": "801-200-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E PONCE DE LEON AVE STE A",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300211839",
            "telephone_number": "801-200-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHRABI",
        "first_name": "FARIBA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP315548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, GA

Sources for this page

Verify at the official NPI Registry.