DR. MORTEZA AZIMIAN (NPI# 1295940229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295940229 |
| Entity Type | Individual |
| Full Name | DR. MORTEZA AZIMIAN |
| Credential | M.D. |
| Practice Address |
1000 Commerce Dr Suite 100 Peachtree City GA 30269-3530 |
| Practice Telephone | 7705061400 |
| Practice Fax Number | 7705061405 |
| Mailing Telephone | 7705061400 |
| Mailing Fax Number | 7705061405 |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036122207 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
12201 | ND | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 036122207 | IL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 17133 | 05 |
| Street Address |
1000 COMMERCE DR SUITE 100 |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376002329 | Kelly Simpson | Hearing Instrument Specialist | 1000 Commerce Dr, Peachtree City, GA 30269-3520 | 2019-03-19 |
| 1588030100 | Ageless Center of Regenerative & Wellness Medicine | Preventive Medicine | 1000 Commerce Dr, Suite 300, Peachtree City, GA 30269-3530 | 2015-08-18 |
| 1669568671 | Karen Virginia Harris-moore | Family Medicine | 1000 Commerce Dr, Peachtree City, GA 30269-3530 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578731600 | Folashade O Alade | Internal Medicine | 1000 Commerce Dr Ste 100, Peachtree City, GA 30269-3530 | 2008-02-11 |
| 1639292931 | Atul Khasnis | Internal Medicine | 101 Mcwilliams Dr Ste B, Peachtree City, GA 30269-6948 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
| 1609428325 | Duluth Regenerative and Joint Institute LLC | Internal Medicine | 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096-6387 | 2019-07-12 |
| 1629464805 | Articularis Healthcare Group Inc. | Internal Medicine | 961 Smoky Mountain Springs Ln Ne Ste A, Gainesville, GA 30501-2418 | 2015-04-14 |
| 1013312040 | Heart of Georgia Rheumatology LLC | Internal Medicine | 1508 Hardeman Ave Ste A, Macon, GA 31201-1471 | 2014-11-04 |
| 1770922072 | Suzana Alex John | Internal Medicine | 247 Whitehead Biomedical Research Bldg 615 Michael St, Atlanta, GA 30322 | 2013-06-19 |
| 1083960447 | Taik Kim | Internal Medicine | 11685 Alpharetta Hwy Ste 120, Roswell, GA 30076-4910 | 2012-08-02 |
| 1851655518 | Romy Nicolas Abou Mrad | Internal Medicine | 1659 Briarcliff Rd Ne, Appartment # 1302, Atlanta, GA 30306-2119 | 2012-06-27 |
| 1881960383 | Manmohan Gupta M.d., P.C. | Internal Medicine | 770 Pine St., Suite 440, Macon, GA 31201-7599 | 2012-03-29 |
| 1669744769 | Padmanaidu Karnam | Internal Medicine | 1622 Mars Hill Rd Ste C, Watkinsville, GA 30677-4893 | 2012-02-03 |
| 1043517683 | Jatin Patel | Internal Medicine | 11685 Alpharetta Highway, Suite 120, Roswell, GA 30076 | 2011-02-17 |
| Find all providers with the same taxonomy | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.