Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Farihah Azam

Individual provider Urgent Care Clinic/Center · NPI 1508499203

Farihah Azam is a Physician Assistant in Kennesaw, Georgia. Qualified in 2022, 4 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1977 Westover Ln NW
Kennesaw, GA 30152-4255
Phone: (678) 949-2742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11123 (GA)
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1508499203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2020
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing address1977 Westover Ln Nw, Kennesaw, GA 30152-4255

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kennesaw