Babak Fayyazi, NP
Nurse Practitioner, Acute Care in Stockbridge, GA. Individual provider (NPI-1).
NPI number1881297992
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1881297992
- Entity type
- Individual (NPI-1)
- Name
- Babak Fayyazi
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2020
- Certification date
- Jun 9, 2021
- Last updated
- Jun 9, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | rn254617 | GA | Yes |
Practice location
145 Eagles Walk Ste AStockbridge, GA 30281-7340
Phone 770-914-1808
Mailing address
3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304
Phone 470-615-3389
Other practice locations
462 Furys Ferry Rd
Augusta, GA 30907-9506
Augusta, GA 30907-9506
Phone 706-868-0319
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