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NIMA BAHRAINI M.D.
NPI 1275851578
Emergency Medicine - Emergency Medical Services in Lawrenceville, GA

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-1000 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nima Bahraini M.d. NPPES

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

NIMA BAHRAINI M.D. (NPI 1275851578) is an individual emergency medical services provider in Lawrenceville, Georgia, licensed in Georgia (82659) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of University Of Alabama School Of Medicine (2010).

NPPES Registry Identity

NPI1275851578
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameNIMA BAHRAINICredential: M.D.
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694
Mailing Address1000 Medical Center BlvdLawrenceville, GA 30046-7694 · (678) 312-1000
Phone(678) 312-1000
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2010
Enumeration DateMay 11, 2010
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1275851578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in GA · 82659
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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

Nima Bahraini 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 ID4385802438
PECOS Enrollment IDI20190718002977
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

3

Medicare enrollment records show Nima Bahraini reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gwinnett Emergency Specialists Observation Services, LLC
Same address
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
NPI 1720373129 (954) 939-5000
Gwinnett Emergency Specialists, LLC
Same address
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 138 clinicians in this Medicare group
NPI 1437346467 (954) 939-5000
American Family Care, LLC
106 mi
Primary Care
30 HOLMES DR
Oxford, AL 36203
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
NPI 1700326022 (256) 403-3534

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
167 services165 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

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

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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 20

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

DR. ROBERT E BLACK III MD
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056
HEATHER GAIL KOTULA PAAA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-9905
MR. THOMAS J GLANCY PA-AA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056
MS. ANDREA PEYTON MOE PA
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4357
MRS. KATHERINE ELAINE CAMPBELL THOMAS NP
Nurse Practitioner (Adult Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County No phone listed
SOLOMON GEZAHGN ABEBE
Nurse Practitioner (Psychiatric/Mental Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (229) 299-7476
CHINWE OGBODO
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-5280
KAPILDEV PRASAD PAAA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056

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 Nima Bahraini's NPI number?

The NPI number for Nima Bahraini is 1275851578. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Nima Bahraini located?

Nima Bahraini practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-1000.

What is Nima Bahraini's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Nima Bahraini enrolled in Medicare?

Yes. Nima Bahraini 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 Nima Bahraini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nima Bahraini reassigns Medicare benefits to 3 organizations: Gwinnett Emergency Specialists Observation Services, LLC (Lawrenceville, GA), Gwinnett Emergency Specialists, LLC (Lawrenceville, GA) and American Family Care, LLC (Oxford, AL). 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 Nima Bahraini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nima Bahraini accept?

Health plans from Oscar Health and Oscar Insurance Company list Nima Bahraini 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 Nima Bahraini affiliated with any hospitals?

According to CMS data, Nima Bahraini is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Nima Bahraini was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.