DR. TARAYN ALESSANDRA FAIRLIE MD MPH
NPI 1124237961
Pediatrics in Duluth, GA

Active since May 21, 2007PECOS Enrolled
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096(770) 931-6010 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tarayn Alessandra Fairlie Md Mph NPPES

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

DR. TARAYN ALESSANDRA FAIRLIE MD MPH (NPI 1124237961) is an individual pediatrics provider in Duluth, Georgia, licensed in Georgia (067870) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124237961
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TARAYN ALESSANDRA FAIRLIECredential: MD MPH
Location Address3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTERDuluth, GA 30096
Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30305 · (404) 364-7070
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1124237961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 067870
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3650 STEVE REYNOLDS BLVD., Duluth, GA 30096

Other Names 1

Former Name (1)Tarayn Alessandra Grizzard

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tarayn Alessandra Fairlie Md Mph 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tarayn Fairlie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

Emergency Medicine
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Ophthalmology
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Pediatrics
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Psychiatry & Neurology (Psychiatry)
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Internal Medicine
3650 STEVE REYNOLDS BLVD.
DULUTH, GA 30096
Pediatrics
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Psychiatry & Neurology (Neurology)
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Pediatrics
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096

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 Tarayn Fairlie's NPI number?

The NPI number for Tarayn Fairlie is 1124237961. It was assigned to this individual provider in the NPPES registry on May 21, 2007. The provider is also known as Tarayn Alessandra Grizzard.

Where is Tarayn Fairlie located?

Tarayn Fairlie practices at 3650 Steve Reynolds Blvd. Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096. The listed phone number is (770) 931-6010.

What is Tarayn Fairlie's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tarayn Fairlie enrolled in Medicare?

Yes. Tarayn Fairlie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tarayn Fairlie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarayn Fairlie reassigns Medicare benefits to 2 organizations: The Southeast Permanente Medical Group (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tarayn Fairlie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tarayn Fairlie accept?

Health plans from Oscar Health list Tarayn Fairlie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tarayn Fairlie was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.