NPIMap

Individual provider Active NPI

Syeda Maimuna Ali Khan, M.D.

  • Internal Medicine Physician
  • Newnan, GA
National Provider Identifier
1366639221
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
86127 Issued in GA
Practice address
710 Newnan Crossing Byp
Newnan, GA 30263-2384
Phone
(770) 487-7807
NPI assigned
Sep 25, 2007
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 86127 GA Primary

Addresses

Primary practice location

710 Newnan Crossing Byp
Newnan, GA 30263-2384

Mailing address

710 Newnan Crossing Byp Ste 200
Newnan, GA 30263-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902001554 GA Practitioner - Internal Medicine 6103915756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 McWilliams Dr
Peachtree City, GA 30269-6948
Phone (770) 702-1864

101 McWilliams Dr
Peachtree City, GA 30269-6948
Phone (770) 487-7619

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

108 N Park Dr
Fayetteville, GA 30214-1645
Phone (770) 487-7807

190 Greencastle Rd
Tyrone, GA 30290-2936
Phone (770) 487-7807

710 Newnan Crossing Bypass
Suite 200
Newnan, GA 30263-2384
Phone (770) 487-7807

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107445FLMDInternal Medicine Physician
86127GAMDInternal Medicine Physician
245634NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Jul 25, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Jul 25, 2020 Accepting new patients
PMC Long Term Care, LLC Internal Medicine CurrentSince Jun 22, 2020 Accepting new patients
Maimonides Medical Center Maimonides Primary Care FPP Internal Medicine Past Accepting new patients
Peachtree Medical Center Past Accepting new patients
Staten Island Hospitalists, PC Internal Medicine Past Accepting new patients
Richard P Carr Physical Therapy Inc Past Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

108 N Park Dr
Fayetteville, GA 30214
Phone (770) 461-3466

710 Newnan Crossing Byp
Ste 200
Newnan, GA 30263
Phone (678) 423-7860

190 Greencastle Rd
Tyrone, GA 30290
Phone (678) 895-0216

190 Greencastle Rd
#2
Tyrone, GA 30290
Phone (770) 487-7807

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8620/brand/1/csg/1/fhir/r4
  • Direct secure messaging: syeda.khan.1@8042.direct.athenahealth.com
  • Direct secure messaging: syedakhan@mai.allscriptsdirect.net

Organizations & group practices 8

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 4

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1366639221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 NEWNAN CROSSING BYP STE 200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NEWNAN CROSSING BYP",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632384",
            "telephone_number": "770-487-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SYEDA",
        "middle_name": "MAIMUNA ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "86127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.