NPI age
18 years
Enumerated 2007-08-07
● Active
Type 1 · Individual
DR. Azad Mansouri, MD
Mansouri is 1 of 4 ophthalmology providers in Jonesboro and 1 of 807 in Georgia.
Primary specialty
Ophthalmology
Plus 3 subspecialties
Licensed in
GA, VA, MD, MO
4 states
Status
Active
No deactivations on record
Last NPPES update
2022-01-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 807 active ophthalmology providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
State licenses
4 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Practice location
2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center
Jonesboro, GA 302362500
Mailing address
3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, GA 303051717
Specialties
-
Ophthalmology PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 1477744068 | |
| 05 (MD) | 033505300 | |
| 05 (DC) | 078242200 |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 122 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.