SOUTH ATLANTA NEUROSURGERY
NPI 1366621237
Specialist in Stockbridge, GA
About South Atlanta Neurosurgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH ATLANTA NEUROSURGERY (NPI 1366621237) is a healthcare organization registered as a specialist in Stockbridge, Georgia and active in the NPI registry since October 2007. The organization lists Shahram Rezaiamiri, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Atlanta Neurosurgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to South Atlanta Neurosurgery, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Stockbridge, GA 30281
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 South Atlanta Neurosurgery's NPI number?
The NPI number for South Atlanta Neurosurgery is 1366621237. It was assigned to this organization in the NPPES registry on October 29, 2007.
Where is South Atlanta Neurosurgery located?
South Atlanta Neurosurgery is located at 900 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (770) 997-0600.
What is South Atlanta Neurosurgery's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is South Atlanta Neurosurgery enrolled in Medicare?
Yes. South Atlanta Neurosurgery is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Atlanta Neurosurgery?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to South Atlanta Neurosurgery, in Neurosurgery and Physical Medicine and Rehabilitation. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Atlanta Neurosurgery was last updated on August 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# South Atlanta Neurosurgery · NPI 1366621237
Specialist organization in Stockbridge, Georgia. Organization record, active in the CMS NPPES registry since October 29, 2007.
## Identity
- **NPI:** 1366621237 (Entity type: Organization)
- **Enumerated:** October 29, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Shahram Rezaiamiri, PHYSICIAN
## Practice location
- **Address:** 900 EAGLES LANDING PKWY, Stockbridge, GA 30281-7343
- **Phone:** (770) 997-0600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurosurgery (2), Physical Medicine and Rehabilitation (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2013
- **Other identifiers:** Medicare PIN GRP6452 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1366621237) · Data from the CMS NPPES public registry.