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AYESHA NIAZY MD
NPI 1770132698
Family Medicine in Alpharetta, GA

Active since September 04, 2019PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
3400 OLD MILTON PKWY STE A510, ALPHARETTA, GA 30005(470) 291-0605 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2023, Jan 5, 2023, Aug 26, 2022 and 1 more (4 updates tracked since 2019).

About Ayesha Niazy Md NPPES

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

AYESHA NIAZY MD (NPI 1770132698) is an individual family medicine provider in Alpharetta, Georgia, licensed in Georgia (96278) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and maintains a secondary practice location in Montgomery.

NPPES Registry Identity

NPI1770132698
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAYESHA NIAZYCredential: MD
Location Address3400 OLD MILTON PKWY STE A510Alpharetta, GA 30005-3750
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 747-4159
Phone(470) 291-0605
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 4, 2019
Last NPPES UpdateOctober 25, 20234 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1770132698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 96278✔ Licensed in AL · 44910
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.
3400 OLD MILTON PKWY STE A510, Alpharetta, GA 30005
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Secondary Practice Location 1

Location 1470 Taylor Rd Ste 310Montgomery, AL 36117-7130 · Phone (334) 747-4322 · Fax (334) 747-4321

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

Ayesha Niazy 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 ID9335523869
PECOS Enrollment IDI20231130000516
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 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.
45 services24 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
21 services21 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
19 services19 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30005 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.

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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.7
Promoting Interoperability100
Improvement Activities40
Cost59.55

Reported Quality Measures

e-Prescribing
100%154 patients5/55-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 4

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

DR. RAJIV M TEJURA M.D.
Family Medicine
3400 OLD MILTON PKWY STE A510
ALPHARETTA, GA 30005
Fulton County (470) 291-0605
RACHEL MIDDLETON SPAGNOLI
Nurse Practitioner
3400 OLD MILTON PKWY STE A510
ALPHARETTA, GA 30005
Fulton County (470) 297-0418
DARYA STERLING D.O
Family Medicine
3400 OLD MILTON PKWY STE A510
ALPHARETTA, GA 30005
Fulton County (470) 291-0605
DR. BRYAN D VO M.D.
Family Medicine
3400 OLD MILTON PKWY STE A510
ALPHARETTA, GA 30005
Fulton County (404) 256-1727

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 Ayesha Niazy's NPI number?

The NPI number for Ayesha Niazy is 1770132698. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Ayesha Niazy located?

Ayesha Niazy practices at 3400 Old Milton Pkwy Ste A510, Alpharetta, GA 30005. The listed phone number is (470) 291-0605.

What is Ayesha Niazy's specialty?

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

Is Ayesha Niazy enrolled in Medicare?

Yes. Ayesha Niazy 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 Ayesha Niazy accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Ayesha Niazy 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 Ayesha Niazy affiliated with any hospitals?

According to CMS data, Ayesha Niazy is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Ayesha Niazy was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.