MR. HARRISON S MOOSAVI
NPI 1306378914
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Harrison Moosavi's NPI number?

The NPI number for Harrison Moosavi is 1306378914. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Q: What is Harrison Moosavi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Harrison Moosavi was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 02, 2017PECOS Enrolled

100 WOODRUFF CIR NE, SUITE 327, ATLANTA, GA 30322(404) 727-5658 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Harrison S Moosavi NPPES

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

MR. HARRISON S MOOSAVI (NPI 1306378914) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306378914

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. HARRISON S MOOSAVI

Location Address100 WOODRUFF CIR NE, SUITE 327Atlanta, GA 30322-1020

Mailing Address100 Woodruff Cir Ne, Suite 327Atlanta, GA 30322-1020 · (404) 727-5658

Phone(404) 727-5658

Sole ProprietorNo

Enumeration DateApril 2, 2017

Last NPPES UpdateApril 4, 2017

✔ NPI 1306378914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

100 WOODRUFF CIR NE, Atlanta, GA 30322

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Harrison S Moosavi 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.

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.

QSANET TEKIE

Student in an Organized Health Care Education/Training Program