NIZAMUDDIN KHAJA (M.D.) – Psychiatry Physician, NPI 1295764009

NIZAMUDDIN KHAJA (M.D.) is a healthcare provider. based in Carrollton, Georgia. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 054915 (GA). The NPI Number for NIZAMUDDIN KHAJA (M.D.) is 1295764009

Main info

Male
40 Years Of Experience
Name
NIZAMUDDIN KHAJA (M.D.)
NPI
1295764009
Phone
(770) 812-3530
Address
119 AMBULANCE DR STE 202
Enumeration Date
2 July 2006
Last Update Date
21 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708123580
Graduation Year
1986 (40 years ago)
PAC ID
4587554605
Group Practice PAC ID
2163714635
Professional Enrollment ID
I20050217000659
Address ID
GA301803201VI101XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

832 PSYCHIATRY in GA

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Provider Addresses for NIZAMUDDIN KHAJA (M.D.)

  • Ambulance Drive, Carrollton, Carroll County, Georgia, 30119, United States

    CARROLLTON, GA 301173857

    Phone: (770) 812-3530

    Type: Mailing

  • 103, Quartz Drive, Villa Rica, Douglas County, Georgia, 30180, United States

    VILLA RICA, GA 301803255

    Phone: (770) 812-3530

    Fax: (770) 812-3531

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,364.

Total Amount is formed as General ($1,364) + Research ($0) + Ownership ($0) = $1,364.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($331).

Total Amount

$1,364

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050217000659IPsychiatryGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9042$0
90833Psychotherapy with evaluation and management visit, 30 minutes8739$0
99213Established patient office or other outpatient visit, 20-29 minutes7130$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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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: 2163714635View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
Nurse PractitionerGA
P S Y C H I A T R YFL
P S Y C H I A T R YGA
P S Y C H I A T R YGA
Nurse PractitionerGA
-AL
Ophthalmology, PsychiatryGA
Nurse PractitionerGA
-FL

Reviews

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Frequently asked questions

What is NIZAMUDDIN KHAJA (M.D.)'s NPI number?
NIZAMUDDIN KHAJA (M.D.)'s NPI is 1295764009 — the number used across U.S. healthcare to identify this provider.
Is NIZAMUDDIN KHAJA (M.D.) shown as active in public data?
Registry records indicate NIZAMUDDIN KHAJA (M.D.) maintains an active NPI.
How would a patient describe NIZAMUDDIN KHAJA (M.D.)'s focus?
For NIZAMUDDIN KHAJA (M.D.), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is NIZAMUDDIN KHAJA (M.D.) registered?
Use Carrollton, Georgia as the headline location for NIZAMUDDIN KHAJA (M.D.) here.
When was this NPI issued?
Enumeration for NIZAMUDDIN KHAJA (M.D.) is noted as July 2, 2006 where the registry provides it.

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