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

Dr. Tassew Tesfaye, MD

Individual provider Family Medicine Physician · NPI 1710974696

Dr. Tassew Tesfaye, MD is a Family Practice in Stone Mountain, Georgia. Qualified in 1985, 41 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
41
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4958 Memorial Dr
Stone Mountain, GA 30083-4148
Phone: (404) 809-2480
Fax: (404) 809-2485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 047542 (GA)

Record details

NPI number1710974696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 5, 2005
Last updated in NPPESMay 23, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGYNECOLOGICAL ONCOLOGY, INFECTIOUS DISEASE, OBSTETRICS/GYNECOLOGY, PEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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