DR. AZAD MANSOURI MD
NPI 1477744068
Ophthalmology in Jonesboro, GA

Q: What is Azad Mansouri's NPI number?

The NPI number for Azad Mansouri is 1477744068. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Q: What is Azad Mansouri's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Azad Mansouri was last updated on January 10, 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.

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment

2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236(410) 337-4500(410) 339-7326 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2022, Nov 7, 2016 (2 updates tracked since 2016).

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About Dr. Azad Mansouri Md NPPES

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

DR. AZAD MANSOURI MD (NPI 1477744068) is an individual ophthalmology provider in Jonesboro, Georgia, licensed in Georgia (076153) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Washington University School Of Medicine (2006).

NPPES Registry Identity

NPI1477744068

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. AZAD MANSOURICredential: MD

Location Address2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTERJonesboro, GA 30236-2500

Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 504-5678 · Fax (410) 339-7326

Phone(410) 337-4500

Fax(410) 339-7326

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 2006

Enumeration DateAugust 7, 2007

Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration

✔ NPI 1477744068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in GA · 076153✔ Licensed in VA · 0101247198✔ Licensed in MD · D70402✔ Licensed in MO · 2006017512

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2400 MOUNT ZION PKWY, Jonesboro, GA 30236

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Other Identifiers 3

Medicaid078242200DC

Medicaid1477744068VA

Medicaid033505300MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Azad Mansouri Md 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 ID4284765124

PECOS Enrollment IDI20161004001483

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.

Areas of Expertise CMS Part B claims 4

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

59 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services11 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30236 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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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. EMILY KING DESCHLER M.D.

Ophthalmology

2400 MOUNT ZION PKWY, KRUISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236

Clayton County (614) 293-8116

DR. SYLVIA E MORRIS MD

Internal Medicine

2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
JONESBORO, GA 30236

Clayton County (770) 603-3649

HANNAH YAEL PAULL

Psychologist

2400 MOUNT ZION PKWY
JONESBORO, GA 30236

Clayton County (404) 375-3328

SHAWN G KASER MD

Internal Medicine (Cardiovascular Disease)

2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236

Clayton County (574) 232-5928

BOYEDE FRANKLIN ADEMODI M.D

Family Medicine (Adult Medicine)

2400 MOUNT ZION PKWY, DEPARTMENT OF INTERNAL MEDICINE
JONESBORO, GA 30236

Clayton County (770) 603-3667

ERIC GUERRA RPH

Pharmacist (Ambulatory Care)

2400 MOUNT ZION PKWY
JONESBORO, GA 30236

Clayton County (770) 603-3511

KAREN L. WOODS CNM

Advanced Practice Midwife

2400 MOUNT ZION PKWY
JONESBORO, GA 30236

Clayton County (404) 365-0966

KAYLA RANDLE PHARMD

Pharmacist (Oncology)

2400 MOUNT ZION PKWY, SUITE 116
JONESBORO, GA 30236

Clayton County (770) 603-4265

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 Azad Mansouri's NPI number?

The NPI number for Azad Mansouri is 1477744068. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Azad Mansouri located?

Azad Mansouri practices at 2400 Mount Zion Pkwy Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236. The listed phone number is (410) 337-4500.

What is Azad Mansouri's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Azad Mansouri enrolled in Medicare?

Yes. Azad Mansouri 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.

Is Azad Mansouri affiliated with any hospitals?

According to CMS data, Azad Mansouri is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Azad Mansouri was last updated on January 10, 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.