Mahdi Mofazali

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN310015 Issued in GA

Practice address

5755 N Point Pkwy Ste 34
Alpharetta, GA 30022-1144

Phone

(678) 240-0000

NPI assigned

Jan 18, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Buford Care Inc

  • Internal Medicine Physician
  • Buford, GA
  • NPI 1154504751
  NPD (past)

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1932910890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BAILEYS COR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622074",
            "telephone_number": "404-510-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 34",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221144",
            "telephone_number": "678-240-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFAZALI",
        "first_name": "MAHDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN310015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silki Pankajkumar Modi, MD
• Modify Health Inc (Modify Health)
• Edward A Modzeleski, CACII, CCS
• Fred T Moeller, L.P.C.
• Kristen N Moeller
• Anam Moghni, CCC-SLP
• Sareh Moghtaderi-Esfahani, RPH
• Golnar Moghtaderi, RPH
• Ali Mohammadizadeh, DMD
• Hossein Mohammadizadeh, D.M.D.

• Family Nurse Practitioner in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.