MEDICARE: ZAKARIA GARY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0006X	Developmental - Behavioral Pediatrics Physician	APRN-NP324279	GA
2	363LP0200X	Pediatric Nurse Practitioner	NP324279	GA

General Provider Information

NPI Number	:	1215889282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAKARIA GARY

Provider Business Mailing Address
First Line	:	2788 DEFOORS FERRY RD NW APT 12
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-2172
Country	:	US
Telephone Number	:	662-466-2961
Fax Number	:

Provider Business Practice Location Address
First Line	:	1365 CLIFTON RD NE BLDG B
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-778-8570
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	04/29/2026

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Directions to “ ZAKARIA GARY ” Practice Location

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