Maryam Irfan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

17610 Issued in GA

Practice address

1550 College St
Macon, GA 31207-1500

Phone

(478) 301-2600

NPI assigned

Jan 20, 2025

Last updated

Jun 17, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1598576381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 COLLEGE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312071500",
            "telephone_number": "478-301-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 COLLEGE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312071500",
            "telephone_number": "478-301-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Montgomery St Apt 319",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314011403",
            "country_code": "US",
            "telephone_number": "912-674-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRFAN",
        "first_name": "MARYAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "17610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Anesthesia Solutions, LLC
• Internal Medicine Associates, P.C.
• Internal Medicine of Macon Ga LLC (Internal Medicine of Macon LLC)
• James V. Intorcia, A.T.
• Stephanie Garrett Intorcia, APRN
• Anthony Irlik
• Gera Lynn Irvine, LPC
• Ae Mary Vilayvong Irwin, NP
• Jennifer Irwin
• Haleigh Grace Isanhart, MD

• Student in an Organized Health Care Education/Training Program in Macon, GA
• Providers in Macon, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.