Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Azad Mansouri, MD

Ophthalmology Physician in Jonesboro, GA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477744068

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Registry record

Entity type Individual (Type 1)

Name Dr. Azad Mansouri

Credential MD

Sex Male

Practice address 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA, 30236

Phone (410) 337-4500

Fax (410) 339-7326

Enumeration date Aug 7, 2007

Last updated in NPPES Jan 10, 2022

Taxonomy & licenses

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 0101247198 (VA) Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License D70402 (MD) Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 2006017512 (MO) Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 076153 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1477744068	Medicaid	VA	-
033505300	Medicaid	MD	-
078242200	Medicaid	DC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Azad Mansouri?

Azad Mansouri is registered in NPPES with the primary taxonomy of Ophthalmology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-10.