DR. ALAZAR TESFAMARIAM SEYOUM MD
NPI 1689564767
Student in an Organized Health Care Education/Training Program in Griffin, GA

Q: What is Alazar Seyoum's NPI number?

The NPI number for Alazar Seyoum is 1689564767. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Q: What is Alazar Seyoum'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 Alazar Seyoum was last updated on July 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 08, 2025PECOS Enrolled

747 S 8TH ST STE B, GRIFFIN, GA 30224(470) 604-8255(770) 999-2814 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Alazar Tesfamariam Seyoum Md NPPES

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

DR. ALAZAR TESFAMARIAM SEYOUM MD (NPI 1689564767) is an individual student in an organized health care education/training program in Griffin, Georgia and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689564767

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ALAZAR TESFAMARIAM SEYOUMCredential: MD

Location Address747 S 8TH ST STE BGriffin, GA 30224-4884

Mailing Address601 S 8th StGriffin, GA 30224-4213 · (470) 935-4803

Phone(470) 604-8255

Fax(770) 999-2814

Sole ProprietorNo

Enumeration DateJuly 8, 2025

NPPES CertifiedJuly 8, 2025

✔ NPI 1689564767 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.

747 S 8TH ST STE B, Griffin, GA 30224

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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)

Dr. Alazar Tesfamariam Seyoum Md 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.