PAYMAN SABETGHADAM (NPI# 1205247392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205247392 |
| Entity Type | Individual |
| Full Name | PAYMAN SABETGHADAM |
| Credential | M.D. |
| Practice Address |
2855 Old Highway 5 Blue Ridge GA 30513 |
| Mailing Address |
64 Robbins St Waterbury CT 06708-2613 |
| Practice Telephone | 7066323711 |
| Practice Fax Number | 7069464430 |
| Mailing Telephone | 2035736162 |
| Mailing Fax Number | 2035736707 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 077908 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003190619B | 05 |
| Street Address |
2855 OLD HIGHWAY 5 |
| City | BLUE RIDGE |
| State | GA |
| Zip Code | 30513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436539 | Gary W Hunt | Family Medicine | 2855 Old Highway 5, Ste 104, Blue Ridge, GA 30513-6239 | 2005-06-02 |
| 1821530072 | Fannin Regional Orthopaedic Center Inc | Anesthesiology | 2855 Old Highway 5, Ste 101, Blue Ridge, GA 30513-6248 | 2016-11-04 |
| 1972994499 | Fannin Physician Services LLC | Physician Assistant | 2855 Old Highway 5, Blue Ridge, GA 30513-6248 | 2015-02-06 |
| 1861804999 | Georgia Anesthesia Partners, LLC | Anesthesiology | 2855 Old Highway 5, Blue Ridge, GA 30513-6248 | 2014-05-23 |
| 1184991051 | Lynn R Hall | Dietitian, Registered | 2855 Old Highway 5, Blue Ridge, GA 30513-6248 | 2011-11-21 |
| 1588962880 | Fannin Emergency Group LLC | Physician Assistant | 2855 Old Highway 5, Blue Ridge, GA 30513-6248 | 2011-03-10 |
| 1447552096 | Blue Ridge Orthopedics Inc. | Orthopaedic Surgery | 2855 Old Highway 5, Suite 111, Blue Ridge, GA 30513-6248 | 2010-12-01 |
| 1376857151 | Hamidreza Doroodchi | Orthopaedic Surgery | 2855 Old Highway 5, Suite 111, Blue Ridge, GA 30513-6248 | 2010-08-04 |
| 1205166519 | Kimberly Lynn Cowan | Nurse Anesthetist, Certified Registered | 2855 Old Highway 5, Blue Ridge, GA 30513-6248 | 2010-01-08 |
| 1851541478 | Elizabeth Schaller Lindsey | Physical Therapist | 2855 Old Highway 5, Blue Ridge, GA 30513-6248 | 2008-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356804561 | Christine Gangwisch | Registered Nurse | 3855 Old Highway 5 Ste 110, Blue Ridge, GA 30513 | 2019-04-13 |
| 1013474659 | Ten Dental LLC | Dentist | 330 Progress Circle Ste C, Blue Ridge, GA 30513 | 2019-03-01 |
| 1932646262 | David Lee Durham | Pharmacist | 5679 Appalachian Highway, Blue Ridge, GA 30513 | 2017-01-25 |
| 1659754398 | Jordan Patton | Ophthalmology | 266 Orvin Lance Dr Ste 5, Blue Ridge, GA 30513 | 2015-06-30 |
| 1063824977 | Christy Russell | Pharmacist | 97 Commerce Drive, Blue Ridge, GA 30513 | 2014-05-27 |
| 1588008429 | Nathan William Kincaid | Surgery | 2855 Old Highway 5 Ste 108, Blue Ridge, GA 30513 | 2013-04-22 |
| 1972800175 | W. Max Couch, Jr., Dds, Mds, LLC | Dentist | 2714 East First Street, Blue Ridge, GA 30513 | 2011-02-24 |
| 1760792246 | Med-trans Corporation | Ambulance | 482 Mccaysville Industrial Dr, Blue Ridge, GA 30513 | 2010-10-18 |
| 1396924791 | Sue Ann Richardson | Chiropractor | 59 Mckinney, Blue Ridge, GA 30513 | 2007-11-01 |
| 1164554432 | Pruitthealth Home First, Inc. | Case Management | 6050 Appalachian Highway, Suite 4, Blue Ridge, GA 30513 | 2007-03-12 |
| Find all providers in zip 30513 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1558344994 | Ronald Timothy Jabaley II | Internal Medicine | 6 Elm St, Blue Ridge, GA 30513-2906 | 2005-11-21 |
| 1174522262 | Frank Stanson Trigg | Internal Medicine | 101 Riverstone Vis, Suite 203, Blue Ridge, GA 30513-6648 | 2005-07-20 |
| 1477574473 | Mccaysville Internal Medicine LLC | Internal Medicine | 6 Elm St, Blue Ridge, GA 30513-2906 | 2006-07-22 |
| 1013978162 | Guillermo A Pena | Internal Medicine | 165 Blue Ridge Overlook, Blue Ridge, GA 30513-4431 | 2006-03-29 |
| 1053305888 | Elias Georges Issa | Internal Medicine | 101 Riverstone Vis, Suite 207, Blue Ridge, GA 30513-6648 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407752 | Neighbormd of Atlanta LLC | Internal Medicine | 285 Boulevard Ne Ste 435&436, Atlanta, GA 30312-4205 | 2020-11-06 |
| 1053912907 | Neighbormd of North Atlanta LLC | Internal Medicine | 1800 Peachtree St Nw Ste 730nw, Atlanta, GA 30309-2519 | 2020-11-06 |
| 1285235036 | Neighbormd of South Atlanta LLC | Internal Medicine | 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 | 2020-11-06 |
| 1770182586 | Nuberty Inc | Internal Medicine | 227 Sandy Springs Pl Ste 220, Sandy Springs, GA 30328-5935 | 2020-10-22 |
| 1427664333 | Nations Medical Clinic Inc | Internal Medicine | 3099 Bredkinridge Blvd, Suite 110/111, Duluth, GA 30096-1011 | 2020-09-17 |
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1790399475 | Janice Carol Gould | Internal Medicine | 140 Vann St Ne Ste 350, Marietta, GA 30060-8975 | 2020-09-01 |
| 1952914368 | Hardy Renew Wellness,llc | Internal Medicine | 838 Cannon Run Sw, Marietta, GA 30064-4600 | 2020-08-25 |
| 1013529577 | Willy Armand Yougang Tchoutang | Internal Medicine | 120 Stoney Creek Dr, Kathleen, GA 31047-3120 | 2020-08-17 |
| 1841800679 | Om Primary Care LLC | Internal Medicine | 4300 Westbrook Rd Bldg A, Suwanee, GA 30024-4987 | 2020-08-06 |
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| City | BLUE RIDGE |
| Zip Code | 30513 |
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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.