South Atlanta Neurosurgery
NPI 1366621237ActiveOrganization· Specialist· Stockbridge, GA
Specialist in Stockbridge, Georgia, registered in NPPES in October 2007. The authorized official on file is Shahram Rezaiamiri, M.D., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366621237 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2007 |
| Last updated in NPPES | Aug 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 049939 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Specialist providers in Stockbridge
- 1174554455
- 1255382701
- 1316921059
- 1326044744
- 1649276064
- 1942301759
- 1740201243
- 1013669738
- 1053926154
- 1104884220
- 1154605590
- 1265645089
All 31 Specialist providers in Stockbridge · All Specialist providers in Georgia