DR. FAZAL M KHAN MD
NPI 1003820291
Psychiatry & Neurology - Psychiatry in Gainesville, GA
About Dr. Fazal M Khan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FAZAL M KHAN MD (NPI 1003820291) is an individual psychiatry provider in Gainesville, Georgia, licensed in Georgia (76623) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Evans.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Fazal M Khan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Fazal Khan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Johns Creek, GA 30097
- Reassigned Medicare billing, Georgia enrollment
- 137 clinicians in this Medicare group
Raleigh, NC 27610
- Reassigned Medicare billing, North Carolina enrollment
- 33 clinicians in this Medicare group
Anna, IL 62906
- Reassigned Medicare billing, Illinois enrollment
- 46 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fazal Khan's NPI number?
The NPI number for Fazal Khan is 1003820291. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is Fazal Khan located?
Fazal Khan practices at 200 Wisteria Dr, Gainesville, GA 30501. The listed phone number is (770) 219-5407.
What is Fazal Khan's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Fazal Khan enrolled in Medicare?
Yes. Fazal Khan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Fazal Khan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fazal Khan reassigns Medicare benefits to 4 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA), Christopher Dennis MD PLLC (Johns Creek, GA), Holly Hill Hospital LLC (Raleigh, NC) and Illinois Department Of Human Services (Anna, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fazal Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Fazal Khan was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Fazal M Khan, MD · NPI 1003820291
Psychiatry physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1003820291 (Entity type: Individual)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 76623 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 WISTERIA DR, Gainesville, GA 30501-3827
- **Phone:** (770) 219-5407
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA); Christopher Dennis MD PLLC (NPI 1588090229, Johns Creek, GA); Holly Hill Hospital LLC (NPI 1518037233, Raleigh, NC); Illinois Department Of Human Services (NPI 1538277637, Anna, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003820291) · Data from the CMS NPPES public registry.