Individual provider Active NPI

Faramarz Movagharnia, D.O., F.A.C.O.S.

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1922338938
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
043437 Issued in GA
Practice address
200 Galleria Pkwy SE Ste 590
Atlanta, GA 30339-5964
Phone
(770) 951-7595
Fax
(770) 951-7598
NPI assigned
Jan 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 043437 GA Primary

Addresses

Primary practice location

200 Galleria Pkwy SE Ste 590
Atlanta, GA 30339-5964

Mailing address

200 Galleria Pkwy SE Ste 590
Atlanta, GA 30339-5964
Phone (770) 951-7595

Other identifiers 1

IdentifierTypeStateIssuer
00766983AMedicaidGA

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1922338938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GALLERIA PKWY SE STE 590",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395964",
            "telephone_number": "770-951-7595",
            "fax_number": "770-951-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GALLERIA PKWY SE STE 590",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395964",
            "telephone_number": "770-951-7595",
            "fax_number": "770-951-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVAGHARNIA",
        "first_name": "FARAMARZ",
        "credential": "D.O., F.A.C.O.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "043437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00766983A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.