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DR. SYEDA HEENA FATIMA MD
NPI 1447497607
Family Medicine in Lilburn, GA

Active since January 09, 2009PECOS EnrolledAccepts Medicare Assignment
3945 LAWRENCEVILLE HWY NW # 29, LILBURN, GA 30047(678) 380-8353(678) 380-8388 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jun 18, 2018 (2 updates tracked since 2018).

About Dr. Syeda Heena Fatima Md NPPES

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

DR. SYEDA HEENA FATIMA MD (NPI 1447497607) is an individual family medicine provider in Lilburn, Georgia, licensed in Georgia (65963) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1447497607
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SYEDA HEENA FATIMACredential: MD
Location Address3945 LAWRENCEVILLE HWY NW # 29Lilburn, GA 30047
Mailing Address3945 Lawrenceville Hwy Nw # 29Lilburn, GA 30047-2817 · (678) 380-8353 · Fax (678) 380-8388
Phone(678) 380-8353
Fax(678) 380-8388
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 9, 2009
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1447497607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 65963✔ Licensed in AL · L.2990
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 065963 (GA)
Also ListedHospitalistTaxonomy 208M00000X · License 065963 (GA)
3945 LAWRENCEVILLE HWY NW # 29, Lilburn, GA 30047
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Other Identifiers 4

Other0846248429GA · Advanced Cardiac Life Support Provider Certification
Other202I081470GA · Ptan#
Other12268599GA · Caqh Provider Id#
Other65963GA · Ga State License#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Syeda Heena Fatima Md 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 ID547439630
PECOS Enrollment IDI20110805000506
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
117 services113 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
69 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
48 services46 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Southern Regional Medical Center

Acute Care Hospitals · Riverdale, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110165
Location11 Upper Riverdale Road, SWRiverdale, GA 30274 · Clayton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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

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

GAMEDICAL ASSOCIATES,INC
Physician Assistant
3945 LAWRENCEVILLE HWY NW # 29
LILBURN, GA 30047
Gwinnett County (678) 380-8353

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 Syeda Fatima's NPI number?

The NPI number for Syeda Fatima is 1447497607. It was assigned to this individual provider in the NPPES registry on January 9, 2009.

Where is Syeda Fatima located?

Syeda Fatima practices at 3945 Lawrenceville Hwy NW # 29, Lilburn, GA 30047. The listed phone number is (678) 380-8353.

What is Syeda Fatima's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Syeda Fatima enrolled in Medicare?

Yes. Syeda Fatima 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 Syeda Fatima accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Syeda Fatima 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 Syeda Fatima affiliated with any hospitals?

According to CMS data, Syeda Fatima is affiliated with Houston Healthcare and Southern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Syeda Fatima was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.