Healthcare Provider Details

I. General information

NPI: 1215889282
Provider Name (Legal Business Name): ZAKARIA GARY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 CLIFTON RD NE BLDG B
ATLANTA GA
30322-1013
US

IV. Provider business mailing address

2788 DEFOORS FERRY RD NW APT 12
ATLANTA GA
30318-2172
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-8570
  • Fax:
Mailing address:
  • Phone: 662-466-2961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP324279
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberAPRN-NP324279
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: