Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FATEMAZAHERA MOMIN
NPI 1104721844
Physician Assistant in Madison, GA

Active since October 12, 2026
1170 HAWTHORNE CIR, MADISON, GA 30650(470) 265-8903 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fatemazahera Momin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FATEMAZAHERA MOMIN (NPI 1104721844) is an individual physician assistant in Madison, Georgia and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1104721844
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFATEMAZAHERA MOMIN
Location Address1170 HAWTHORNE CIRMadison, GA 30650-5148
Mailing Address1170 Hawthorne CirMadison, GA 30650-5148
Sole ProprietorYes
Enumeration DateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1104721844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1170 HAWTHORNE CIR, Madison, GA 30650

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 Fatemazahera Momin's NPI number?

The NPI number for Fatemazahera Momin is 1104721844. It was assigned to this individual provider in the NPPES registry on October 12, 2026.

Where is Fatemazahera Momin located?

Fatemazahera Momin practices at 1170 Hawthorne Cir, Madison, GA 30650. The listed phone number is (470) 265-8903.

What is Fatemazahera Momin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Fatemazahera Momin was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.