Noman Alam Bashir

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

02871301 Issued in NY

Practice address

1106 Talon Trce
Lawrenceville, GA 30043-7105

Phone

(305) 297-9510

NPI assigned

Sep 26, 2010

Reactivated

Aug 12, 2026

Last updated

Aug 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, NY2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: noman.bashir.p1@direct.aicaorthopedics.nextgenshare.com

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.

• Ac Spine & Wellness Center LLC

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1013265479
  Medicare reassignment
• Hygeia Health Inc

  dba Quik Clinic

  • Physician Assistant
  • Tucker, GA
  • NPI 1881295657
  Medicare reassignment
• Nys Medical Associate PLLC

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1104268572
  Medicare reassignment
• Vantage Medical Associates PC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1538642996
  Medicare reassignment
• Arturo Corces MD PA

  dba Miami Institute For Joint Reconstruction

  • Specialist
  • Doral, FL
  • NPI 1104605641
  NPD (past)
• South Florida International Orthopaedics PA

  • Orthopaedic Surgery Physician
  • Miami, FL
  • NPI 1689982233
  NPD (past)

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1457660466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15739 SW 102ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965420",
            "telephone_number": "305-297-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 TALON TRCE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437105",
            "telephone_number": "305-297-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "NOMAN",
        "middle_name": "ALAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-26",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "deactivation_date": "2026-07-21",
        "reactivation_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "1095084",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "02871301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysia Starr Barrier, PHARMD
• Melissa Young Barrow, CNP
• Michael Scott Bartruff, DMD
• Allison Bascas, M.S., OTR/L
• Nayeem Z. Bashar, D.D.S.
• Tara Basile
• Alexandra Juliet Bass, MA, CCC-SLP
• Sarah Maria Bassett
• Malgorzata Bastia
• Miranda Basto, PAC

• Physician Assistant in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.