Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ali Mortazavi, DO

Individual provider Orthopaedic Surgery Physician · NPI 1609863802

Dr. Ali Mortazavi, DO is an Orthopedic Surgery in Austell, Georgia. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 1998, 28 years ago. Practices with Resurgens, LLC, a 182-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
28
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
GA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2041 Mesa Valley Way Ste 100
Austell, GA 30106-8157
Phone: (770) 944-1100
Fax: (770) 944-6469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 054865 (GA)

Record details

NPI number1609863802
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESOctober 24, 2016
Mailing address2041 Mesa Valley Way, Suite 100, Austell, GA 30106-8157

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Also practisesGENERAL SURGERY
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 1998 (28 years in practice)
Group practice Resurgens, Llc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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