BROOKE MAHDAVI DMD
NPI 1184283111
Dentist - Orthodontics and Dentofacial Orthopedics in Atlanta, GA
About Brooke Mahdavi Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKE MAHDAVI DMD (NPI 1184283111) is an individual orthodontics and dentofacial orthopedics provider in Atlanta, Georgia, licensed in Georgia (DN015346) and active in the NPI registry since June 2019. She has opted out of Medicare through January 15, 2027 and maintains a secondary practice location in Fayetteville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Brooke Mahdavi Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2025 through January 15, 2027.
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 Brooke Mahdavi's NPI number?
The NPI number for Brooke Mahdavi is 1184283111. It was assigned to this individual provider in the NPPES registry on June 12, 2019.
Where is Brooke Mahdavi located?
Brooke Mahdavi practices at 955 Memorial Dr SE Ste 530, Atlanta, GA 30316. The listed phone number is (770) 800-5802.
What is Brooke Mahdavi's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
Is Brooke Mahdavi enrolled in Medicare?
No. Brooke Mahdavi has opted out of Medicare through January 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Brooke Mahdavi accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Brooke Mahdavi 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 Brooke Mahdavi was last updated on March 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.