Healthcare Provider Details

I. General information

NPI: 1396241881
Provider Name (Legal Business Name): ZAYN GERAKITIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL STE 8329
ATLANTA GA
30350-2995
US

IV. Provider business mailing address

8735 DUNWOODY PL STE 8329
ATLANTA GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 770-742-9302
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number90008
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: