Individual provider Active NPI

Abdul Aziz Khan, MD

  • Family Medicine Physician
  • Bremen, GA
National Provider Identifier
1245989441
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
105267 Issued in GA
Practice address
204 Allen Memorial Dr Ste 201
Bremen, GA 30110-2062
Phone
(770) 537-6500
Fax
(770) 824-2600
NPI assigned
Mar 23, 2022
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 105267 GA Primary

Addresses

Primary practice location

204 Allen Memorial Dr Ste 201
Bremen, GA 30110-2062

Mailing address

204 Allen Memorial Dr Ste 201
Bremen, GA 30110-2062
Phone (770) 537-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250724003893 GA Practitioner - Family Practice 3072989854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Haralson Family Healthcare CenterGroup PAC ID 8729997846, 4 clinicians

Practice addresses (Care Compare)

204 Allen Memorial Dr
Suite 201
Bremen, GA 30110-2062
Phone (770) 537-6500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105267GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True North Physicians LLC Family Medicine Current Accepting new patients
Apogee Medical Group, Georgia, Inc. CurrentSince Jan 1, 2026 Accepting new patients
TMC Haralson Family Healthcare Center Family Medicine CurrentSince Sep 22, 2025 Accepting new patients

Locations

204 Allen Memorial Dr
Ste 201
Bremen, GA 30110
Phone (770) 537-6500

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1245989441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ALLEN MEMORIAL DR STE 201",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102062",
            "telephone_number": "770-537-6500",
            "fax_number": "770-824-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ALLEN MEMORIAL DR STE 201",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102062",
            "telephone_number": "770-537-6500",
            "fax_number": "770-824-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUL",
        "middle_name": "AZIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "105267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

Verify at the official NPI Registry.