Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PALWASHA KHAN MD
NPI 1740961960
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since July 31, 2023PECOS Enrolled
1439 JESSE JEWELL PKWY NE STE 301, GAINESVILLE, GA 30501(770) 219-0023 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Palwasha Khan Md NPPES

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

DR. PALWASHA KHAN MD (NPI 1740961960) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1740961960
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. PALWASHA KHANCredential: MD
Location Address1439 JESSE JEWELL PKWY NE STE 301Gainesville, GA 30501-3806
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Sole ProprietorNo
Enumeration DateJuly 31, 2023
Last NPPES UpdateAugust 25, 2026
NPPES CertifiedAugust 25, 2026
NPI 1740961960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1439 JESSE JEWELL PKWY NE STE 301, Gainesville, GA 30501

Secondary Practice Location 1

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Palwasha Khan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Nurse Practitioner (Acute Care)
1439 JESSE JEWELL PKWY NE STE 301
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
1439 JESSE JEWELL PKWY NE STE 301
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 301
GAINESVILLE, GA 30501
General Practice
1439 JESSE JEWELL PKWY NE STE 301
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 301
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 301
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 301
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 301
GAINESVILLE, GA 30501

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 Palwasha Khan's NPI number?

The NPI number for Palwasha Khan is 1740961960. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Palwasha Khan located?

Palwasha Khan practices at 1439 Jesse Jewell Pkwy NE Ste 301, Gainesville, GA 30501. The listed phone number is (770) 219-0023.

What is Palwasha Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Palwasha Khan enrolled in Medicare?

Yes. Palwasha Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Palwasha Khan was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.