Faria Memnum Khan, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

053571 Issued in GA

Practice address

2510 Limestone Pkwy
Gainesville, GA 30501-2089

Phone

(770) 219-9500

NPI assigned

May 16, 2006

Last updated

Jan 12, 2021By the provider in NPPES

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 identifiers 2

Electronic endpoints 1

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

Specialty

Allergy/Immunology

Education

University of Alabama School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

Merit-based Incentive Payment System (MIPS)

Final score

87.83 of 100Reported as group

Quality

80.36

Promoting interoperability

100

Improvement activities

40

Cost

79.08

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

Doctor of Medicine

Practice roles

Locations

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.

• Northeast Georgia Physicians Group Inc

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1891745212
  Medicare reassignment Care Compare group NPD
• Atlanta ENT Sinus & Allergy Associates PC

  • Specialist
  • Atlanta, GA
  • NPI 1285619544
  Medicare reassignment NPD
• Northeast Georgia Physicians Group, Inc.

  • Allergy Physician
  • Braselton, GA
  • NPI 1134749211
  NPD
• Northeast Georgia Physicians Group, Inc.

  • Allergy Physician
  • Gainesville, GA
  • NPI 1699395772
  NPD
• Sacred Heart Health System, Inc.

  dba Ascension Medical Group Sacred Heart Urgent Care

  • Urgent Care Clinic/Center
  • Pensacola, FL
  • NPI 1770533077
  NPD (past)
• Tri Hospital MRI Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Port Huron, MI
  • NPI 1063581353
  NPD (past)

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

• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1548212087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 LIMESTONE PKWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012089",
            "telephone_number": "770-219-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Peachtree Dunwoody Rd",
            "address_2": "Ste 125",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421703",
            "country_code": "US",
            "telephone_number": "404-255-2918",
            "fax_number": "404-255-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARIA",
        "middle_name": "MEMNUM",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "053571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003130515B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003130515C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fkhan106190@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2510 Limestone Pkwy",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305012089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan G. Kerrick, MD
• Kim Kerrick, PT
• Rebekah Ellen Mellor Ketterman
• Key Optique, LLC
• Jay Khambhati, MD
• Fazal M Khan, MD
• Hira Tariq Khan
• Imran Anwar Khan, MD
• Nidha Khan, DO, MPH
• Palwasha Khan, MD

• Allergy & Immunology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.