ANUM MUSHTAQ GAFFAR PA-C
NPI 1326657560
Physician Assistant in Marietta, GA

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
55 WHITCHER ST NE STE 250, MARIETTA, GA 30060(770) 428-4475 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2021, May 7, 2021, Jul 23, 2020 (3 updates tracked since 2020).

About Anum Mushtaq Gaffar Pa-c NPPES

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

ANUM MUSHTAQ GAFFAR PA-C (NPI 1326657560) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (9861) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Clarkston.

NPPES Registry Identity

NPI1326657560
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANUM MUSHTAQ GAFFARCredential: PA-C
Location Address55 WHITCHER ST NE STE 250Marietta, GA 30060-1169
Mailing Address55 Whitcher St Ne Ste 250Marietta, GA 30060-1169 · (770) 428-4475
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 23, 2020
Last NPPES UpdateJuly 15, 20213 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
NPI 1326657560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 9861
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 9861 (GA)
55 WHITCHER ST NE STE 250, Marietta, GA 30060

Secondary Practice Location 1

Location 13660 Market StClarkston, GA 30021-1246 · Phone (470) 355-7896

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

Anum Mushtaq Gaffar 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.

PECOS PAC ID5890104319
PECOS Enrollment IDI20210512001893
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.

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
378 services305 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
273 services223 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
263 services218 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
150 services116 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
148 services137 patients
Insertion of lower leg neurostimulator electrode 64566
The insertion of a lower leg neurostimulator electrode is a procedure where a small device is placed under your skin. This device sends mild electrical signals to nerves in the lower leg, helping to manage chronic pain. It's a safe, minimally invasive procedure.
98 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Urology
55 WHITCHER ST NE STE 250
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE STE 250
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 250
MARIETTA, GA 30060
Nurse Practitioner (Family)
55 WHITCHER ST NE STE 250
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE STE 250
MARIETTA, GA 30060
Urology
55 WHITCHER ST NE STE 250
MARIETTA, GA 30060
Urology
55 WHITCHER ST NE STE 250
MARIETTA, GA 30060
Urology
55 WHITCHER ST NE STE 250
MARIETTA, GA 30060

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 Anum Gaffar's NPI number?

The NPI number for Anum Gaffar is 1326657560. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Anum Gaffar located?

Anum Gaffar practices at 55 Whitcher St NE Ste 250, Marietta, GA 30060. The listed phone number is (770) 428-4475.

What is Anum Gaffar's specialty?

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

Is Anum Gaffar enrolled in Medicare?

Yes. Anum Gaffar 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 Anum Gaffar accept?

Health plans from Alliant Health Plans, Inc. list Anum Gaffar 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 Anum Gaffar affiliated with any hospitals?

According to CMS data, Anum Gaffar is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Paulding Medical Center.

When was this NPI record last updated?

The NPPES record for Anum Gaffar was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.