DR. SHAHROKH C BAGHERI M.D. D.M.D.
NPI 1154325587
Dentist - Oral and Maxillofacial Surgery in Marietta, GA

Q: What is Shahrokh Bagheri's NPI number?

The NPI number for Shahrokh Bagheri is 1154325587. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Shahrokh Bagheri's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Shahrokh Bagheri was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment

1000 JOHNSON FERRY RD, BLDG H, MARIETTA, GA 30068(770) 977-0364(678) 819-6531 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Shahrokh C Bagheri M.d. D.m.d. NPPES

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

DR. SHAHROKH C BAGHERI M.D. D.M.D. (NPI 1154325587) is an individual oral and maxillofacial surgery provider in Marietta, Georgia, licensed in Georgia (054541) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Emory University School Of Medicine (2000).

NPPES Registry Identity

NPI1154325587

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. SHAHROKH C BAGHERICredential: M.D. D.M.D.

Location Address1000 JOHNSON FERRY RD, BLDG HMarietta, GA 30068-5518

Mailing Address1000 Johnson Ferry Rd, Bldg HMarietta, GA 30068-5518 · (770) 977-0364 · Fax (678) 819-6531

Phone(770) 977-0364

Fax(678) 819-6531

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2000

Enumeration DateJune 13, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1154325587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in GA · 054541

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1000 JOHNSON FERRY RD, Marietta, GA 30068

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shahrokh C Bagheri M.d. D.m.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931175007

PECOS Enrollment IDI20040915000213

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

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

North Atlanta Professional Services LLC

5.5 mi

Psychologist

1000 JOHNSON FERRY RD NE
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
783 clinicians in this Medicare group

NPI 1316959869 (855) 709-4535

Facial Trauma Specialists LLC

22 mi

Oral and Maxillofacial Surgery

2008 LAWRENCEVILLE SUWANEE RD
Suwanee, GA 30024

Reassigned Medicare billing, Georgia enrollment
3 clinicians in this Medicare group

NPI 1285512087 (678) 905-9066

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110010

Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30068 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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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 20

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

DR. BARTON L MCGHEE JR. D.D.S.

Dentist (Oral and Maxillofacial Surgery)

1000 JOHNSON FERRY RD, BLDG H
MARIETTA, GA 30068

Cobb County (770) 977-0364

ADDESS CHIROPRACTIC P.C.

Chiropractor (Neurology)

1000 JOHNSON FERRY RD, B-100
MARIETTA, GA 30068

Cobb County (770) 321-6300

LEAH SOYARS HEISLER M.ED,

Speech-Language Pathologist

1000 JOHNSON FERRY RD, SUITE A-100
MARIETTA, GA 30068

Cobb County (770) 977-9457

SHEBA JUSTIN OTR/L

Occupational Therapist

1000 JOHNSON FERRY RD, SUITE 200
MARIETTA, GA 30068

Cobb County (770) 831-2313

DR. ROBERT CARL WUNDERLE D.D.S.

Dentist (Oral and Maxillofacial Surgery)

1000 JOHNSON FERRY RD, BLDG H
MARIETTA, GA 30068

Cobb County (770) 977-0364

DR. STEVEN JULE LEVY D.D.S.

Dentist (Oral and Maxillofacial Surgery)

1000 JOHNSON FERRY RD, BLDG H
MARIETTA, GA 30068

Cobb County (770) 977-0364

DR. CHRIS JO D.M.D.

Dentist (Oral and Maxillofacial Surgery)

1000 JOHNSON FERRY RD, BLDG. H
MARIETTA, GA 30068

Cobb County (678) 819-6536

DR. SUZANNE INES STARKEY MD

Psychiatry & Neurology (Psychiatry)

1000 JOHNSON FERRY RD, SUITE D135
MARIETTA, GA 30068

Cobb County (770) 509-5300

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 Shahrokh Bagheri's NPI number?

The NPI number for Shahrokh Bagheri is 1154325587. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Shahrokh Bagheri located?

Shahrokh Bagheri practices at 1000 Johnson Ferry Rd Bldg H, Marietta, GA 30068. The listed phone number is (770) 977-0364.

What is Shahrokh Bagheri's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Shahrokh Bagheri enrolled in Medicare?

Yes. Shahrokh Bagheri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shahrokh Bagheri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahrokh Bagheri reassigns Medicare benefits to 2 organizations: North Atlanta Professional Services LLC (Atlanta, GA) and Facial Trauma Specialists LLC (Suwanee, 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 Shahrokh Bagheri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shahrokh Bagheri accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 19 other insurers list Shahrokh Bagheri 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.

Is Shahrokh Bagheri affiliated with any hospitals?

According to CMS data, Shahrokh Bagheri is affiliated with Emory University Hospital and Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Shahrokh Bagheri was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.