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

Fares Hosseinzadeh

Individual provider Family Medicine Physician · NPI 1760123046

Fares Hosseinzadeh is a Family Practice in Alpharetta, Georgia. Qualified in 2022, 4 years ago. Practices with Aylo Health, LLC, a 112-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11180 State Bridge Rd Ste 404
Alpharetta, GA 30022-7484
Phone: (770) 252-2220
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1101 Nortec Dr Se, Conyers, GA 30013-5835 — (678) 374-7514

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 105392 (GA)

Record details

NPI number1760123046
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2022
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address11180 State Bridge Rd Ste 404, Johns Creek, GA 30022-7484

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Aylo Health, Llc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Alpharetta