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FARID HAJIBONABI MD
NPI 1104613991
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 23, 2025PECOS Enrolled
100 WOODRUFF CIR NE STE 327, ATLANTA, GA 30322(404) 712-4686 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Farid Hajibonabi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FARID HAJIBONABI MD (NPI 1104613991) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104613991
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFARID HAJIBONABICredential: MD
Location Address100 WOODRUFF CIR NE STE 327Atlanta, GA 30322-1020
Mailing Address100 Woodruff Cir Ne Ste 327Atlanta, GA 30322-1020 · (404) 712-4686
Phone(404) 712-4686
Sole ProprietorYes
Enumeration DateApril 23, 2025
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1104613991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 WOODRUFF CIR NE STE 327, Atlanta, GA 30322
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Farid Hajibonabi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY MACHEN MD
Radiology (Diagnostic Radiology)
100 WOODRUFF CIR NE STE 327
ATLANTA, GA 30322
Dekalb County (225) 757-4070
LUIS CARLOS PEREZ MD
Emergency Medicine
100 WOODRUFF CIR NE STE 327
ATLANTA, GA 30322
Dekalb County (404) 727-5658
JULIE IRENE THWING MD
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE STE 327
ATLANTA, GA 30322
Dekalb County (404) 727-5658
TARYN MARIE DEGRAZIA WEST MD
Dermatology
100 WOODRUFF CIR NE STE 327
ATLANTA, GA 30322
Dekalb County (404) 727-5658
LAUREN ROSE TEMPLETON MD
Surgery
100 WOODRUFF CIR NE STE 327
ATLANTA, GA 30322
Dekalb County (404) 727-5658
DR. BRIAN MCCALISTER JR. MD
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE STE 327
ATLANTA, GA 30322
Dekalb County (404) 727-5658
GAUTHAM VELLAICHAMY MD
Dermatology (Dermatopathology)
100 WOODRUFF CIR NE STE 327
ATLANTA, GA 30322
Dekalb County (847) 884-8096
DR. TAISHA BLAIR MD
Pediatrics
100 WOODRUFF CIR NE STE 327
ATLANTA, GA 30322
Dekalb County (404) 727-5658

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Farid Hajibonabi's NPI number?

The NPI number for Farid Hajibonabi is 1104613991. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Farid Hajibonabi located?

Farid Hajibonabi practices at 100 Woodruff Cir NE Ste 327, Atlanta, GA 30322. The listed phone number is (404) 712-4686.

What is Farid Hajibonabi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Farid Hajibonabi enrolled in Medicare?

Yes. Farid Hajibonabi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Farid Hajibonabi was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.