Shabnam Nourparvar, MD - Medicare Emergency Medicine in Fayetteville, GA

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Shabnam Nourparvar, MD is a medicare enrolled "Emergency Medicine" physician in Fayetteville, Georgia. She went to Mercer University School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Southeastern Emergency Physicians Llc, Southeastern Emergency Physicians Llc and her current practice location is 1255 Ga-54, Emergency Department, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 491-7152.

Shabnam Nourparvar is licensed to practice in Georgia (license number 75797) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689902660.

Contact Information

Shabnam Nourparvar, MD
1255 Ga-54, Emergency Department,
Fayetteville, GA 30214
(678) 491-7152
Not Available

Map and Direction




Physician's Profile

Full NameShabnam Nourparvar
GenderFemale
SpecialityEmergency Medicine
Experience12 Years
Location1255 Ga-54, Fayetteville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shabnam Nourparvar attended and graduated from Mercer University School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1689902660
  • Provider Enumeration Date: 12/02/2009
  • Last Update Date: 03/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284937343
  • Enrollment ID: I20221222002282

Medical Identifiers

Medical identifiers for Shabnam Nourparvar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689902660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 67247 (Tennessee)Secondary
207P00000XEmergency Medicine 75797 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Physicians Regional Medical CenterPowell, TNHospital
Tennova Healthcare-clarksvilleClarksville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997627
Southeastern Emergency Physicians Llc2466364997627

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shabnam Nourparvar allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameApp Of Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NameTri-cities Regional Emergency Physicians, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399
Entity NameApp Of East Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326695537
PECOS PAC ID: 6800127796
Enrollment ID: O20191007003318

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. Shabnam Nourparvar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shabnam Nourparvar, MD
1255 Ga-54, Emergency Department,
Fayetteville, GA 30214

Ph: (678) 491-7152		Shabnam Nourparvar, MD
1255 Ga-54, Emergency Department,
Fayetteville, GA 30214

Ph: (678) 491-7152

Reviews and Comments


Emergency Medicine Doctors in Fayetteville, GA

Dr. Robin Lowman White,
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Phone: 770-719-6911    
Dr. Chionesu Sonyika, MD
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Phone: 770-229-6911    
Dr. Salih O Faldon, M.D.
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Practice Location: 101 Beckett Ln, 506, Fayetteville, GA 30214
Phone: 678-817-9255    Fax: 678-817-9295
Frank Brown, MD
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Practice Location: 8 Eastbrook Bend, Suite B, Fayetteville, GA 30214
Phone: 404-605-3297    
Brooke Augustin-coley, MD
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Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-6911    
Dr. Ajala Osagie, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-6911    
Dr. Christopher Perez, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 874 Lanier Ave W Ste 220, Fayetteville, GA 30214
Phone: 678-833-1444    Fax: 678-833-1444

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.