Tom M Fazlollah, CRNA - Nurse Anesthetist, Certified Registered in Atlanta, GA

Tom M Fazlollah, CRNA is a Nurse Anesthetist, Certified Registered based in Atlanta, Georgia. Tom M Fazlollah is licensed to practice in Georgia (license number RN047276) and his current practice location is 1000 Johnson Ferry Rd Ne, Atlanta, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 645-9181.

NPI number for Tom M Fazlollah is 1942296660 and his current mailing address is 200 Mansell Ct E, Attn: Credentialing Dept., Suite 105, Roswell, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942296660.

Contact Information

Tom M Fazlollah, CRNA
1000 Johnson Ferry Rd Ne,
Atlanta, GA 30342-1606
(770) 645-9181
(770) 645-8455

Map and Direction




Provider's Profile

Full NameTom M Fazlollah
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1000 Johnson Ferry Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942296660
  • Provider Enumeration Date: 09/27/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Tom M Fazlollah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942296660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN047276 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tom M Fazlollah is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tom M Fazlollah, CRNA
200 Mansell Ct E, Attn: Credentialing Dept., Suite 105,
Roswell, GA 30076-4856

Ph: (770) 645-9181
Tom M Fazlollah, CRNA
1000 Johnson Ferry Rd Ne,
Atlanta, GA 30342-1606

Ph: (770) 645-9181

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Atlanta, GA

Hannah L Steele, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Susan C. Osgood, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Lynnon Leana Connerly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 550 Peachtree Street, Suite 1600, Atlanta, GA 30308
Phone: 404-253-6820    Fax: 404-874-1249
Mrs. Shani G Johnson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1968 Peachtree Rd., Nw, Atlanta, GA 30309
Phone: 404-351-1745    Fax: 404-351-7121
Vivian S. Fontenot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Charita Merchant, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309
Phone: 678-216-0771    
Caitlin Quigley, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322
Phone: 404-785-5437    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.