MARYAM RIAZ
NPI 1912620790
Physician Assistant - Medical in Watkinsville, GA

Active since September 26, 2022PECOS EnrolledAccepts Medicare Assignment
1160 CAPITAL AVE STE 105, WATKINSVILLE, GA 30677(706) 946-4041 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2026, Apr 2, 2026, Sep 26, 2022 (3 updates tracked since 2022).

About Maryam Riaz NPPES

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

MARYAM RIAZ (NPI 1912620790) is an individual medical provider in Watkinsville, Georgia, licensed in Georgia (12575) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2023).

NPPES Registry Identity

NPI1912620790
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARYAM RIAZ
Location Address1160 CAPITAL AVE STE 105Watkinsville, GA 30677-1832
Mailing AddressPo Box 459Colbert, GA 30628-0459
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2023
Enumeration DateSeptember 26, 2022
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1912620790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 12575
1160 CAPITAL AVE STE 105, Watkinsville, GA 30677

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

Maryam Riaz 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 ID6507333069
PECOS Enrollment IDI20260422001598
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 2

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1160 CAPITAL AVE STE 105
WATKINSVILLE, GA 30677
Nurse Practitioner (Family)
1160 CAPITAL AVE STE 105
WATKINSVILLE, GA 30677

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 Maryam Riaz's NPI number?

The NPI number for Maryam Riaz is 1912620790. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Maryam Riaz located?

Maryam Riaz practices at 1160 Capital Ave Ste 105, Watkinsville, GA 30677. The listed phone number is (706) 946-4041.

What is Maryam Riaz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Maryam Riaz enrolled in Medicare?

Yes. Maryam Riaz 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.

When was this NPI record last updated?

The NPPES record for Maryam Riaz was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.