NOOR KHAN - NPI 1205628864 - Physician Assistant in Lawrenceville, GA

Q: What is Noor Khan's NPI number?

The NPI number for Noor Khan is 1205628864. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Q: What is Noor Khan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Noor Khan was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

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About Noor Khan NPPES

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

NOOR KHAN (NPI 1205628864) is an individual physician assistant in Lawrenceville, Georgia, licensed in Georgia (13322) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205628864

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNOOR KHAN

Location Address771 OLD NORCROSS RD STE 200Lawrenceville, GA 30046-4980

Mailing Address420 E 70th St Apt 9d3New York, NY 10021-5354 · (404) 966-4503

Phone(770) 339-1387

Fax(770) 962-7868

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateMay 20, 2025

Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration

NPPES CertifiedAugust 14, 2025

✔ NPI 1205628864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 13322

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.

771 OLD NORCROSS RD STE 200, Lawrenceville, GA 30046

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noor Khan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951890912

PECOS Enrollment IDI20251029004185

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY PERRY APRN, FNP-C

Nurse Practitioner