MR. FAHIM IMAM CAA
NPI 1417402900
Anesthesiologist Assistant in Atlanta, GA

Q: What is Fahim Imam's NPI number?

The NPI number for Fahim Imam is 1417402900. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Q: What is Fahim Imam's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Fahim Imam was last updated on September 4, 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.

Active since August 24, 2016Accepts Medicare Assignment

1000 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 851-8917(404) 303-3636 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Sep 3, 2016, Aug 24, 2016 (3 updates tracked since 2016).

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About Mr. Fahim Imam Caa NPPES

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

MR. FAHIM IMAM CAA (NPI 1417402900) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (13135) and active in the NPI registry since August 2016. He is affiliated with Northside Hospital Forsyth and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417402900

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameMR. FAHIM IMAMCredential: CAA

Location Address1000 JOHNSON FERRY RDAtlanta, GA 30342-1606

Mailing Address1000 Johnson Ferry RdAtlanta, GA 30342-1606 · (404) 851-8917 · Fax (404) 303-3636

Phone(404) 851-8917

Fax(404) 303-3636

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 24, 2016

Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1417402900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 13135

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1000 JOHNSON FERRY RD, Atlanta, GA 30342

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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 and accepts Medicare assignment

Mr. Fahim Imam Caa 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 ID9335421494

PECOS Enrollment IDI20250925000075

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

26%264 patients2/55-star benchmark: 100%

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

67%583 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SHELLEY S STATON PAAA

Anesthesiologist Assistant

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (770) 645-9181

TYREL FOSTER MD

Nuclear Medicine

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 851-6323

KEVIN DAVIS

Anesthesiologist Assistant

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 851-8000

NICK TAHER M.D.

Hospitalist

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 851-8000

NORTHSIDE RADIOLOGY ASSOCIATES LLC

Radiology (Diagnostic Radiology)

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 662-2438

TAYEB AHMAD RAHIM

Radiology (Neuroradiology)

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (678) 553-7784

KATHRYN LYNN DEAN NP

Nurse Practitioner

1000 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342

Fulton County (404) 851-6500

VICKI DO

Anesthesiologist Assistant

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (770) 530-6646

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 Fahim Imam's NPI number?

The NPI number for Fahim Imam is 1417402900. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Where is Fahim Imam located?

Fahim Imam practices at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 851-8917.

What is Fahim Imam's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Fahim Imam enrolled in Medicare?

Yes. Fahim Imam 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.

Is Fahim Imam affiliated with any hospitals?

According to CMS data, Fahim Imam is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Fahim Imam was last updated on September 4, 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.