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NPI 1801965082
● Active Type 2 · Organization
The Bortolazzo Group, Llc
Emergency Medicine · Austell, GA · NPI 1801965082
·
Enumerated 2006 · 19 years on NPI
The Bortolazzo Group, Llc is 1 of 1991 emergency medicine organizations in Georgia.
NPI age
19 years
Enumerated 2006-11-06
Primary specialty
Emergency Medicine
Practice locations
4
3 secondary on file
Status
Active
No deactivations on record
Authorized official
Larsen
Director Of Credentialing
Last NPPES update
2020-02-05
Source: monthly bulk 2026-05
How this organization compares
Across 1991 active emergency medicine providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
4
3 secondary on file
NPI lifetime · 2006 → 2026
2006-11 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3950 Austell Rd
Austell, GA 301061121
📞 7707324000
Mailing address
Po Box 22085
Belfast, ME 049154117
📞 7708745400
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
677 Church St Ne
Marietta, GA 300601101
📞 7707935000
Location 3
2518 Jimmy Lee Smith Pkwy
Hiram, GA 301412068
📞 4706447000
Location 4
8954 Hospital Dr
Douglasville, GA 301342272
📞 7709491500
Authorized official
Kim H Larsen
Director Of Credentialing
📞 7708745400
Individual providers at this organization
20 individual providers on file at this primary practice address.
Autherine Abiri , NP
Nurse Practitioner
NPI 1679948525
Dhaval Adhvaryu , MD
Surgery
NPI 1528070067
Ehiaghe Adodo
Pharmacist
NPI 1336958198
Orrin Ahola , MD
Emergency Medicine
NPI 1831202357
Olufemi Ajibade , MD
Obstetrics & Gynecology
NPI 1619330297
Madison Akin , PA
Physician Assistant
NPI 1053268086
Neena Alex , M.D.
Hospitalist
NPI 1760831069
Hadeel Al Kayed , MD
Student in an Organized Health Care Education/Training Program
NPI 1699665489
William Allen , MD
Radiology
NPI 1396710067
Shira Amdur , M.D.
Internal Medicine
NPI 1467728345
Taylor Armstead , CRNA
Nurse Anesthetist, Certified Registered
NPI 1205537263
Kate Aufort
Occupational Therapist
NPI 1821956483
Neha Azhar , MD
Student in an Organized Health Care Education/Training Program
NPI 1679318935
Oluwadunsin Bakare , MD
Anesthesiology
NPI 1033790381
Hamid Bakhtiary , M.D.
Hospitalist
NPI 1275583825
Merry Balcha
Student in an Organized Health Care Education/Training Program
NPI 1588366462
Lee Balos , CRNA
Nurse Anesthetist, Certified Registered
NPI 1871556464
Cheurpruoscheinia Barrett , RN
Registered Nurse
NPI 1730056664
Shaun Bath , MD
Hospitalist
NPI 1154688380
Brandi Beatty , RN
Student in an Organized Health Care Education/Training Program
NPI 1669312567
Specialties
Emergency Medicine
Primary
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
taxonomy 207P00000X
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Plus 3 secondary practice locations.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.