DR. AYAZ PATHAN (MD) – Emergency Medicine Physician, NPI 1114132255

DR. AYAZ PATHAN (MD) is a healthcare provider. based in Austell, Georgia. specializing in EMERGENCY MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 236496 (AK). The NPI Number for DR. AYAZ PATHAN (MD) is 1114132255

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. AYAZ PATHAN (MD)
NPI
1114132255
Phone
(770) 732-4000
Address
3950 AUSTELL RD
Enumeration Date
11 May 2007
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072255171
Graduation Year
2004 (22 years ago)
PAC ID
8426149535
Group Practice PAC ID
8820500135
Professional Enrollment ID
I20250717003550
Address ID
AK999015746KE3100XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

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Provider Addresses for DR. AYAZ PATHAN (MD)

  • Austell Road, Austell, Cobb County, Georgia, 30106, United States

    AUSTELL, GA 301061121

    Phone: (770) 732-4000

    Type: Mailing

  • 5665, New Northside Drive Northwest, Atlanta, Georgia, 30328, United States

    SUITE 320

    ATLANTA, GA 303285831

    Phone: (770) 874-5400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080603000580IEmergency MedicineNCTBD
I20220524000022IEmergency MedicineNJTBD
I20230515000186IEmergency MedicineOHTBD
I20230719002077IEmergency MedicineILTBD
I20240129000316IEmergency MedicineTNTBD
I20240129004609IEmergency MedicineMSTBD
I20250717003550IEmergency MedicineAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making5858$0
99285Emergency department visit with high level of medical decision making5252$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 30106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820500135View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineTN
Internal Medicine, Emergency MedicineWA
Emergency MedicineCA
Emergency MedicineNC
Emergency MedicineWA
Emergency MedicineIL
Emergency MedicineTX
Emergency MedicineCA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. AYAZ PATHAN (MD)?
NPI 1114132255 is assigned to DR. AYAZ PATHAN (MD) under the national enumeration system.
Is DR. AYAZ PATHAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. AYAZ PATHAN (MD) treat or focus on?
Patients typically see DR. AYAZ PATHAN (MD) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. AYAZ PATHAN (MD) practice in Georgia?
You will see Austell, Georgia on file for DR. AYAZ PATHAN (MD) alongside any extra practice locations.
What if Austell, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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