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

Marko Ossama Ghali

Individual provider Physician Assistant · NPI 1790581486

Marko Ossama Ghali is a Physician Assistant in Smyrna, Tennessee. Qualified in 2025, 1 year ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group and accepts Medicare assignment. Licensed in New Jersey and Tennessee.

Years since qualifying
1
Licensed in
NJ, TN
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

890 Isabella Ln
Smyrna, TN 37167-4215
Phone: (615) 768-8021
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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 25MP00961000 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 6435 (TN)

Record details

NPI number1790581486
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2025
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address2163 Carefree Ln, Antioch, TN 37013-3586

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Smyrna