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DR. FERHANA NAJAM MD
NPI 1568706653
Internal Medicine - Rheumatology in Smyrna, GA

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1955 LAKE PARK DR SE STE 100, SMYRNA, GA 30080(470) 785-2333(470) 892-2035 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2025, Apr 2, 2025, Feb 21, 2025 and 2 more (5 updates tracked since 2017).

About Dr. Ferhana Najam Md NPPES

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

DR. FERHANA NAJAM MD (NPI 1568706653) is an individual rheumatology provider in Smyrna, Georgia, licensed in Georgia (077091) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568706653
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. FERHANA NAJAMCredential: MD
Location Address1955 LAKE PARK DR SE STE 100Smyrna, GA 30080-8855
Mailing AddressPo Box 31665Charlotte, NC 28231-1665 · (843) 793-6980
Phone(470) 785-2333
Fax(470) 892-2035
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 15, 2012
Last NPPES UpdateOctober 28, 20255 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1568706653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in GA · 077091
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1955 LAKE PARK DR SE STE 100, Smyrna, GA 30080
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11955 Lake Park Dr SE Ste 360Smyrna, GA 30080-8858 · Phone (470) 785-2333
Location 21955 Lake Park Dr SESmyrna, GA 30080-8858 · Phone (470) 785-2333

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ferhana Najam 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 ID4981849585
PECOS Enrollment IDI20170125002215
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

3

Medicare enrollment records show Ferhana Najam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Articularis Healthcare Group Inc
7.5 mi
Rheumatology
5885 GLENRIDGE DR
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1841055266 (843) 572-4840
The Emory Clinic Inc
12 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Emory Specialty Associates, LLC
67 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888

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 5

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 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.
108 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services47 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.
41 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. CLARE AMIRA OMEKAM MD
Internal Medicine (Rheumatology)
1955 LAKE PARK DR SE STE 100
SMYRNA, GA 30080
Cobb County (470) 785-2333

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 Ferhana Najam's NPI number?

The NPI number for Ferhana Najam is 1568706653. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Ferhana Najam located?

Ferhana Najam practices at 1955 Lake Park Dr SE Ste 100, Smyrna, GA 30080. The listed phone number is (470) 785-2333.

What is Ferhana Najam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ferhana Najam enrolled in Medicare?

Yes. Ferhana Najam 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.

Which organizations bill Medicare for Ferhana Najam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ferhana Najam reassigns Medicare benefits to 3 organizations: Articularis Healthcare Group Inc (Atlanta, GA), The Emory Clinic Inc (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, 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 Ferhana Najam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ferhana Najam accept?

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

According to CMS data, Ferhana Najam is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Ferhana Najam was last updated on October 28, 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.