Alice F. Fazekas, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004858 Issued in GA

Practice address

3903 S Cobb Dr SE
Suite 200
Smyrna, GA 30080-8504

Phone

(770) 801-4646

Fax

(770) 801-5280

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alice E. Fisher Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Spine and Pain Management Center PCGroup PAC ID 2769483031, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score

83.66 of 100Reported as group

Quality

74.46

Promoting interoperability

99

Improvement activities

40

Cost

71.9

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alice.fazekas@ispm.eclinicaldirectplus.com

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.

• The Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1518012004
  Medicare reassignment Care Compare group NPD
• CPM Labs, LLC

  • Clinical Medical Laboratory
  • Roswell, GA
  • NPI 1689945800
  NPD
• The Interventional Spine and Pain Management Center PC

  • Interventional Pain Medicine Physician
  • Cumming, GA
  • NPI 1447963608
  NPD

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

• Kennestone Hospital, Inc.

  • Long Term Care Hospital
  • Marietta, GA
  • NPI 1700853041

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1295824324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 S COBB DR SE",
            "address_2": "SUITE 200",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808504",
            "telephone_number": "770-801-4646",
            "fax_number": "770-801-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 S COBB DR SE",
            "address_2": "SUITE 200",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808504",
            "telephone_number": "770-801-4646",
            "fax_number": "770-801-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZEKAS",
        "first_name": "ALICE",
        "middle_name": "F.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "FISHER",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caragh Kelly Fane-Hervey
• Brandi Fannon, PHARMD
• Qadan Farah
• No Name Given Fathima Ambrin, DDS
• Amaya Faulkner-Taylor
• Corinne Dion Felix
• Erin Ferguson
• Michael Wayne Ferguson Jr., LCSW, LISAC
• Anthony P Ferrara
• Joshua Joseph Fertig, MD

• Medical Physician Assistant in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.