SEYED MANSOUR JAZAYERI (NPI# 1437298056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437298056 |
| Entity Type | Individual |
| Full Name | SEYED MANSOUR JAZAYERI |
| Credential | PA-C |
| Practice Address |
833 N Hairston Rd Stone Mountain GA 30083-3423 |
| Practice Telephone | 7708795553 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004403 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
833 N HAIRSTON RD |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569323 | Stone Mountain Immediate Medical Care, Inc. | Health Maintenance Organization | 833 N Hairston Rd, Stone Mountain, GA 30083-3423 | 2005-06-27 |
| 1164979852 | Jessica Marie Peeler | Nurse Practitioner | 833 N Hairston Rd, Stone Mountain, GA 30083-3423 | 2016-09-09 |
| 1376682971 | Madhusudan Chandora | Internal Medicine | 833 N Hairston Rd, Stone Mountain, GA 30083-3423 | 2007-02-06 |
| 1992844526 | Dawn Xin Chen | Physician Assistant | 833 N Hairston Rd, Stone Mountain, GA 30083-3423 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751450 | Tangenia M. Thomas | Physician Assistant | 1805 Parke Plaza Cir Ste 101, Stone Mountain, GA 30087-3646 | 2019-07-15 |
| 1205175262 | Carla N Cooke | Physician Assistant | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3637 | 2013-02-11 |
| 1154624013 | Kanani Daniels Floyd | Physician Assistant | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3637 | 2010-12-15 |
| 1265687172 | Francine S Nkoy | Physician Assistant | 1192 Rockbridge Rd Ste A, Stone Mountain, GA 30087-2923 | 2008-11-19 |
| 1134328990 | Djifa Richards Jones | Physician Assistant | 2240 W Park Place Blvd, Ste A, Stone Mountain, GA 30087-3543 | 2007-07-12 |
| 1992844526 | Dawn Xin Chen | Physician Assistant | 833 N Hairston Rd, Stone Mountain, GA 30083-3423 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on SEYED MANSOUR JAZAYERI.
| 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.