Individual provider Active NPI

Fathima Chowdhury, P.A.-C

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1760823132
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11372 Issued in GA
Practice address
11500 State Highway 121 Ste 930
Frisco, TX 75035-9347
Phone
(678) 755-0756
NPI assigned
Jul 12, 2013
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016560-1 NY
Physician Assistant 363A00000X 11372 GA Primary
Medical Physician Assistant 363AM0700X PA4702 MA

Addresses

Primary practice location

11500 State Highway 121 Ste 930
Frisco, TX 75035-9347

Mailing address

5449 Durham View CT NW
Lilburn, GA 30047-5896
Phone (678) 755-0756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20150420001817 TX Practitioner - Physician Assistant 3971732454 Reassigns benefits to 1 organization
I20250107003154 GA Practitioner - Physician Assistant 3971732454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Next Step Psychiatry LLCGroup PAC ID 5890223820, 3 clinicians

Practice addresses (Care Compare)

4652 Lawrenceville Hwy NW
Suite 104
Lilburn, GA 30047-3623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7430AZMDDentist
016560-1NYMDOccupational Therapist
4702MAMDAudiologist
11372GAMDPhysician Assistant
PA4702MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weintraub Geriatric Associates Past Accepting new patients
Klair Medicose PLLC PastSince Oct 2, 2011 Accepting new patients
Weintraub Geriatric Associates, Inc PC Past Accepting new patients
360 Clinics PLLC Past Accepting new patients
Frank E Elliott, MD. P.a. Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1760823132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 DURHAM VIEW CT NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475896",
            "telephone_number": "678-755-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 930",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359347",
            "telephone_number": "678-755-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "FATHIMA",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016560-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11372",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA4702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.