Individual provider Active NPI

Ayesha Khan, M.D.

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1992877344
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
058338 Issued in GA
Practice address
333 Midway Rd NW
Marietta, GA 30064-5630
Phone
(984) 283-1722
Fax
(888) 498-3729
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2016-00151 NC
General Practice Physician 208D00000X 058338 GA
Internal Medicine Physician 207R00000X 058338 GA Primary

Addresses

Primary practice location

333 Midway Rd NW
Marietta, GA 30064-5630

Mailing address

1587 Petal PT NW
Kennesaw, GA 30152-7773

Other identifiers 5

IdentifierTypeStateIssuer
471357534EMedicaidGA
471357534DMedicaidGA
2016-00151OtherNCNORTH CAROLINA MEDICAL BOARD LICENSE
1609816123OtherGAGEORGIA CLINIC PC GROUP NPI #
471357534FMedicaidGA

Other names 1

  • Ayesha Tauqeer Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070118000327 GA Practitioner - Internal Medicine 9739180787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Medical Associates LLCGroup PAC ID 2567568603, 4 clinicians

Practice addresses (Care Compare)

11379 Southbridge Pkwy
Suite a
Alpharetta, GA 30022-4402
Phone (770) 770-0750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Medical Associates LLC Internal Medicine CurrentSince Jan 12, 2026 Accepting new patients
North Florida Medical Associates, Inc. Internal Medicine Past Accepting new patients
Uni-One Medical Clinic LLC Past Accepting new patients

Locations

11379 Southbridge Pkwy
Ste A
Alpharetta, GA 30022
Phone (770) 770-0750

11379 Southbridge Pkwy
Alpharetta, GA 30022
Phone (770) 289-2305

Interoperability endpoints

  • Direct secure messaging: ayeshakhan@rcmg.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1992877344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 PETAL PT NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MIDWAY RD NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645630",
            "telephone_number": "984-283-1722",
            "fax_number": "888-498-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2016-00151",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "058338",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "058338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471357534E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471357534D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD LICENSE",
            "identifier": "2016-00151",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA CLINIC PC GROUP NPI #",
            "identifier": "1609816123",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471357534F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYESHA",
            "last_name": "TAUQEER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.