KHADEJA CHOWDHURY (PA) – Physician Assistant, NPI 1740769538
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for KHADEJA CHOWDHURY (PA)
4652 LAWRENCEVILLE HWY NW STE 104
LILBURN, GA 300473623
Phone: (678) 437-1659
Fax: (678) 437-1340
Type: Location
307, Old Stone Road, Old Villa Rica, Villa Rica, Carroll County, Georgia, 30180, United States
VILLA RICA, GA 30180
Phone: (770) 459-8799
Type: Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 300467694
Phone: (678) 312-1000
Type: Location
5434, Durham View Court Northwest, Lilburn, Gwinnett County, Georgia, 30047, United States
LILBURN, GA 300475896
Phone: (678) 335-6200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $262.
Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.
Last reported payment date: 2024-07-02 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($90).
Total Amount
$262
General + Research + Ownership
Payments
14
Total payment records
General Amount
$262
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190724000710 | I | Physician Assistant | TX | TBD |
| I20200109002171 | I | Physician Assistant | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30047)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice, Emergency Medicine | AZ | |
| Physician Assistant | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.