MR. MAZEN SHAFIQ FAKHOURI PA-C
NPI 1205164217
Physician Assistant in Augusta, GA
About Mr. Mazen Shafiq Fakhouri Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MAZEN SHAFIQ FAKHOURI PA-C (NPI 1205164217) is an individual physician assistant in Augusta, Georgia, licensed in Georgia (005712) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Mazen Shafiq Fakhouri Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Au Medical Center
Acute Care Hospitals · Augusta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30912 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.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Mazen Fakhouri's NPI number?
The NPI number for Mazen Fakhouri is 1205164217. It was assigned to this individual provider in the NPPES registry on December 2, 2009.
Where is Mazen Fakhouri located?
Mazen Fakhouri practices at 1120 15th St Orthopaedic Clinic, Augusta, GA 30912. The listed phone number is (706) 721-2847.
What is Mazen Fakhouri's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mazen Fakhouri enrolled in Medicare?
Yes. Mazen Fakhouri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mazen Fakhouri accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Mazen Fakhouri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mazen Fakhouri affiliated with any hospitals?
According to CMS data, Mazen Fakhouri is affiliated with Au Medical Center.
When was this NPI record last updated?
The NPPES record for Mazen Fakhouri was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Mazen Shafiq Fakhouri, PA-C · NPI 1205164217
Physician Assistant physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since December 2, 2009.
## Identity
- **NPI:** 1205164217 (Entity type: Individual)
- **Enumerated:** December 2, 2009
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 005712 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH ST, ORTHOPAEDIC CLINIC, Augusta, GA 30912-0004
- **Phone:** (706) 721-2847
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** January 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205164217) · Data from the CMS NPPES public registry.