NIZAMUDDIN KHAJA M.D.
NPI 1295764009
Psychiatry & Neurology - Psychiatry in Villa Rica, GA

Active since July 02, 2006PECOS Enrolled
101 QUARTZ DR # 103, VILLA RICA, GA 30180(770) 812-3530(770) 812-3531 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nizamuddin Khaja M.d. NPPES

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

NIZAMUDDIN KHAJA M.D. (NPI 1295764009) is an individual psychiatry provider in Villa Rica, Georgia, licensed in Georgia (054915) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center Villa Rica, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1295764009
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNIZAMUDDIN KHAJACredential: M.D.
Location Address101 QUARTZ DR # 103Villa Rica, GA 30180-3255
Mailing Address119 Ambulance Dr Ste 202Carrollton, GA 30117-3857 · (770) 812-3530
Fax(770) 812-3531
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 2, 2006
Last NPPES UpdateMarch 21, 2018
✔ NPI 1295764009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 054915
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
101 QUARTZ DR # 103, Villa Rica, GA 30180

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nizamuddin Khaja M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587554605
PECOS Enrollment IDI20050217000659
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nizamuddin Khaja reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Psychiatry
101 QUARTZ DR STE 103B
Villa Rica, GA 30180
  • Reassigned Medicare billing, Georgia enrollment
  • 73 clinicians in this Medicare group
Community/Behavioral Health
126 ENTERPRISE PATH, SUITE #202
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Highland Rivers Community Service Board
  • 142 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.

Areas of Expertise CMS Part B claims

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
20 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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 Nizamuddin Khaja's NPI number?

The NPI number for Nizamuddin Khaja is 1295764009. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Nizamuddin Khaja located?

Nizamuddin Khaja practices at 101 Quartz Dr # 103, Villa Rica, GA 30180. The listed phone number is (770) 812-3530.

What is Nizamuddin Khaja's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nizamuddin Khaja enrolled in Medicare?

Yes. Nizamuddin Khaja is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nizamuddin Khaja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nizamuddin Khaja reassigns Medicare benefits to 2 organizations: Tmc-Behavioral Health Of West Georgia (Villa Rica, GA) and Highland Rivers Csb (Hiram, GA). 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 Nizamuddin Khaja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nizamuddin Khaja accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Nizamuddin Khaja 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 Nizamuddin Khaja affiliated with any hospitals?

According to CMS data, Nizamuddin Khaja is affiliated with Tanner Medical Center Villa Rica.

When was this NPI record last updated?

The NPPES record for Nizamuddin Khaja was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.