P Praxis·MD
● Active Type 1 · Individual

Farihah Azam

Physician Assistant·Kennesaw, GA· NPI 1508499203 · Enumerated 2020 · 6 years on NPI
Azam is 1 of 23 physician assistant providers in Kennesaw and 1 of 4616 in Georgia.
NPI age
6 years
Enumerated 2020-02-20
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
6 years
↓ 2 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Practice location
1977 Westover Ln Nw
Kennesaw, GA 301524255
📞 6789492742
Mailing address
1977 Westover Ln Nw
Kennesaw, GA 301524255
📞 6789492742

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #11123 taxonomy 363A00000X
  • Clinic/Center
    Definition to come...
    taxonomy 261QU0200X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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