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DR. EDUARD FATAKHOV M.D.
NPI 1295099018
Internal Medicine in Alpharetta, GA

Active since June 26, 2012PECOS Enrolled
401 S MAIN ST STE B3, ALPHARETTA, GA 30009(404) 836-9906(470) 545-4768 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 26, 2022, Jan 28, 2021 (2 updates tracked since 2021).

About Dr. Eduard Fatakhov M.d. NPPES

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

DR. EDUARD FATAKHOV M.D. (NPI 1295099018) is an individual internal medicine provider in Alpharetta, Georgia, licensed in Georgia (005563) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1295099018
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDUARD FATAKHOVCredential: M.D.
Location Address401 S MAIN ST STE B3Alpharetta, GA 30009-1958
Mailing Address401 S Main St Ste B3Alpharetta, GA 30009-1958 · (404) 836-9906 · Fax (470) 545-4768
Phone(404) 836-9906
Fax(470) 545-4768
Sole ProprietorNo
Enumeration DateJune 26, 2012
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1295099018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 005563
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
401 S MAIN ST STE B3, Alpharetta, GA 30009
Open in Google Maps ↗

Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-2423

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 (PECOS)

Dr. Eduard Fatakhov M.d. 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 Eduard Fatakhov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
0.9 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611
Hospital Physician Services - Southeast Professional Corporation
37 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Georgia enrollment
  • 777 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461

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 30009 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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 2

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

IRINA BUKSHTEYN FNP-C
Nurse Practitioner (Family)
401 S MAIN ST STE B3
ALPHARETTA, GA 30009
Fulton County (404) 836-9906
THE CENTER FOR INTERNAL & INTEGRATIVE MEDICINE, PA
Internal Medicine (Obesity Medicine)
401 S MAIN ST STE B3
ALPHARETTA, GA 30009
Fulton County (404) 836-9906

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 Eduard Fatakhov's NPI number?

The NPI number for Eduard Fatakhov is 1295099018. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Eduard Fatakhov located?

Eduard Fatakhov practices at 401 S Main St Ste B3, Alpharetta, GA 30009. The listed phone number is (404) 836-9906.

What is Eduard Fatakhov's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Eduard Fatakhov enrolled in Medicare?

Yes. Eduard Fatakhov is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eduard Fatakhov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eduard Fatakhov reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Roswell, GA) and Hospital Physician Services - Southeast Professional Corporation (Monroe, 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 Eduard Fatakhov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eduard Fatakhov accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Eduard Fatakhov 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 Eduard Fatakhov was last updated on April 26, 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.