ANAHID A EBRAHIMI (NPI# 1508043944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508043944 |
| Entity Type | Individual |
| Full Name | ANAHID A EBRAHIMI |
| Credential | PA-C |
| Practice Address |
144 Bill Carruth Pkwy Suite 3600 Hiram GA 30141 |
| Mailing Address |
1355 Peachtree St Ne Suite 1600 Atlanta GA 30309-3212 |
| Practice Telephone | 6784865500 |
| Practice Fax Number | 6784865502 |
| Mailing Telephone | 6784865500 |
| Mailing Fax Number | 6784865502 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002651 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 754506157 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 403 Permian Way Ste A, Villa Rica, GA 301803226 | 6787845020 | 6787845024 |
| 8855 Hospital Dr Ste 101, Douglasville, GA 301342267 | 6787845020 | 6787845024 |
| 3886 Princeton Lakes Way Sw Ste 240, Atlanta, GA 303315511 | 6785931280 | 6785931290 |
| Street Address |
144 BILL CARRUTH PKWY SUITE 3600 |
| City | HIRAM |
| State | GA |
| Zip Code | 30141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518925981 | Abdul Malik Sheikh | Internal Medicine | 144 Bill Carruth Pkwy, Suite 4200, Hiram, GA 30141-3749 | 2006-05-03 |
| 1982050613 | Interventional Spine & Pain Management Center, PC | Pain Medicine | 144 Bill Carruth Pkwy, Siute 2300, Hiram, GA 30141-3818 | 2016-05-12 |
| 1760850655 | Charles Michael Clevenger | Physical Therapist | 144 Bill Carruth Pkwy, Suite 4700, Hiram, GA 30141-3818 | 2015-09-09 |
| 1295126514 | Paulding Medical Center Inc | Pharmacy | 144 Bill Carruth Pkwy, Suite 2000, Hiram, GA 30141-3818 | 2015-02-09 |
| 1003214933 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Orthopaedic Surgery | 144 Bill Carruth Pkwy, Suite 4700, Hiram, GA 30141-3818 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
| 1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
| 1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
| 1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
| 1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
| 1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
| 1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
| 1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
| 1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
| 1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
| Find all providers in zip 30141 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974750 | Hayley Anita Morton | Physician Assistant | 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141-3819 | 2018-09-06 |
| 1619305208 | Erin Landry | Physician Assistant | 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141-1836 | 2013-10-17 |
| 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 | ||||
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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.