DR. AYISHA GANI (M.D.) – Internal Medicine Physician, NPI 1629050638

DR. AYISHA GANI (M.D.) is a healthcare provider. based in Canton, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 047083 (GA). The NPI Number for DR. AYISHA GANI (M.D.) is 1629050638

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. AYISHA GANI (M.D.)
NPI
1629050638
Phone
(770) 704-9499
Address
145 RIVERSTONE TERRACE
Enumeration Date
16 November 2005
Last Update Date
5 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704795535
Graduation Year
1987 (39 years ago)
PAC ID
0749349710
Group Practice PAC ID
1355578485
Professional Enrollment ID
I20111024000704
Address ID
GA301142432CA320XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for DR. AYISHA GANI (M.D.)

  • 145, Riverstone Terrace, North Canton, Canton, Cherokee County, Georgia, 30114, United States

    SUITE 100

    CANTON, GA 30114

    Phone: (770) 704-9499

    Fax: (770) 704-9754

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $911.

Total Amount is formed as General ($911) + Research ($0) + Ownership ($0) = $911.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($133).

Total Amount

$911

General + Research + Ownership

Payments

48

Total payment records

General Amount

$911

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-10-24

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
I20111024000704IInternal MedicineGATBD

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 minutes385174$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit161161$0
G0008Administration of influenza virus vaccine6864$0
90662Influenza vaccine split virus, preservative free6260$0
99213Established patient office or other outpatient visit, 20-29 minutes4639$0
View full utilization report →

Insurance plans in this area (ZIP 30114)

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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: 1355578485View full group profile
NameSpecialtyState
Internal MedicineSC
Family PracticeGA
Family PracticeGA
Family Practice, Geriatric Medicine, Hospice/Palliative CareGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Internal MedicineGA
Family PracticeGA
-GA

Reviews

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Frequently asked questions

How is DR. AYISHA GANI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. AYISHA GANI (M.D.) with NPI 1629050638.
Is DR. AYISHA GANI (M.D.) listed as active for patients and plans?
The listing shows DR. AYISHA GANI (M.D.) as active in the NPI system.
What is DR. AYISHA GANI (M.D.) best known for clinically?
Directory data describes DR. AYISHA GANI (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. AYISHA GANI (M.D.) based?
DR. AYISHA GANI (M.D.) is tied to Canton, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about DR. AYISHA GANI (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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