AZEZ AMEN PA
NPI 1902509904
Physician Assistant - Surgical in Gainesville, GA

Active since March 27, 2023PECOS EnrolledAccepts Medicare Assignment
1439 JESSE JEWELL PKWY NE STE 302, GAINESVILLE, GA 30501(770) 219-9200 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Azez Amen Pa NPPES

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

AZEZ AMEN PA (NPI 1902509904) is an individual surgical provider in Gainesville, Georgia, licensed in Georgia (11812) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Lincoln Memorial University Medical Department (2022).

NPPES Registry Identity

NPI1902509904
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAZEZ AMENCredential: PA
Location Address1439 JESSE JEWELL PKWY NE STE 302Gainesville, GA 30501-3806
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2022
Enumeration DateMarch 27, 2023
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
NPI 1902509904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in GA · 11812
Also ListedPhysician AssistantTaxonomy 363A00000X
1439 JESSE JEWELL PKWY NE STE 302, Gainesville, GA 30501

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

Azez Amen Pa 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 ID7012361231
PECOS Enrollment IDI20230921002699
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 2

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.
43 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services18 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

Physician Assistant
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Physician Assistant
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Surgery (Surgical Oncology)
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Dietitian, Registered
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Surgery
1439 JESSE JEWELL PKWY NE STE 302
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
1439 JESSE JEWELL PKWY NE STE 302
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 Azez Amen's NPI number?

The NPI number for Azez Amen is 1902509904. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Azez Amen located?

Azez Amen practices at 1439 Jesse Jewell Pkwy NE Ste 302, Gainesville, GA 30501. The listed phone number is (770) 219-9200.

What is Azez Amen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Azez Amen enrolled in Medicare?

Yes. Azez Amen 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 Azez Amen affiliated with any hospitals?

According to CMS data, Azez Amen is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Azez Amen was last updated on September 11, 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.