Individual provider Active NPI

Ayaz Pathan, MD

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1114132255
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
059307 Issued in GA
Practice address
5665 New Northside Dr NW
Suite 320
Atlanta, GA 30328-5831
Phone
(770) 874-5400
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 236496 AK
Emergency Medicine Physician 207P00000X 059307 GA Primary

Addresses

Primary practice location

5665 New Northside Dr NW
Suite 320
Atlanta, GA 30328-5831

Mailing address

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NJ, OH, IL, TN, MS, AK7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20080603000580 NC Practitioner - Emergency MedicinePractitioner - Hospitalist 8426149535 Reassigns benefits to 18 organizations
I20220524000022 NJ Practitioner - Emergency Medicine 8426149535 Reassigns benefits to 1 organization
I20230515000186 OH Practitioner - Emergency Medicine 8426149535 Reassigns benefits to 2 organizations
I20230719002077 IL Practitioner - Emergency Medicine 8426149535 Reassigns benefits to 1 organization
I20240129000316 TN Practitioner - Emergency Medicine 8426149535 Reassigns benefits to 4 organizations
I20240129004609 MS Practitioner - Emergency Medicine 8426149535 Reassigns benefits to 1 organization
I20250717003550 AK Practitioner - Emergency Medicine 8426149535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospitalist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Triad Physicians PLLCGroup PAC ID 6406197334, 37 clinicians
The Carolinas Emergency Group, PLLCGroup PAC ID 2567486814, 62 clinicians
Ketchikan Emergency Physicians, LLCGroup PAC ID 8820500135, 13 clinicians

Practice addresses (Care Compare)

207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 472-2000

2201 S Sterling St
Morganton, NC 28655-4044
Phone (858) 580-5000

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 225-5171

Hospital & facility affiliations

  • Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
236496AKMDEmergency Medicine Physician
059307GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince May 20, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Robeson Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 5, 2018 Accepting new patients
Ballantyne Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Ballantyne Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 20, 2023 Accepting new patients
Piedmont Triad Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 20, 2023 Accepting new patients
Kinston Physicians Group, PLLC Emergency Medicine CurrentSince May 15, 2014 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince May 20, 2019 Accepting new patients
Gem Capital Physicians, PLLC Emergency Medicine CurrentSince Aug 25, 2018 Accepting new patients
Forsyth Memorial Hospital Inc CurrentSince May 20, 2019 Accepting new patients
Bull City Physicians, PLLC Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients
Brunswick Physician Partners, PLLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Brunswick Community Hospital, LLC CurrentSince May 20, 2019 Accepting new patients
Tanglewood Park Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Ketchikan Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 5, 2025 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 20, 2023 Accepting new patients
Allen Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Olive Branch Emergency Physicians LLC Emergency Medicine CurrentSince Jan 9, 2024 Accepting new patients
Yadkin Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Lorain Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Riverside Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 26, 2023 Accepting new patients
Kernersville Emergency Group, PLLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Tarheel Emergency Group, PLLC Emergency Medicine CurrentSince Aug 15, 2022 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince May 20, 2019 Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 20, 2023 Accepting new patients
Stallings Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients
Brunswick Community Hospital, LLC PastSince Oct 13, 2024 Accepting new patients
South Fulton Emergency Physicians, LLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients

Locations (25 of 30)

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

16035 Johnston Rd
Charlotte, NC 28277
Phone (704) 542-5132

11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

2700 S Providence Rd
Waxhaw, NC 28173
Phone (704) 243-2254

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

Interoperability endpoints

  • Direct secure messaging: apathan500446@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: ayaz.pathan.1@15189.direct.athenahealth.com
  • Direct secure messaging: apathan45212@mlh.direct-ci.com
  • Direct secure messaging: apathan73383@direct.unc.nchie.net

Organizations & group practices 37

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 37

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1114132255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061121",
            "telephone_number": "770-732-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR NW",
            "address_2": "SUITE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "770-874-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAN",
        "first_name": "AYAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "236496",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "059307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.