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

Shaaz Syed Fareed

Individual provider Family Medicine Physician · NPI 1861072746

Shaaz Syed Fareed is a Family Practice in Acworth, Georgia. Qualified in 2021, 5 years ago. Practices with Physiotherapy Associates Inc, a 1,458-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4791 S Main St Ste 100
Acworth, GA 30101-5324
Phone: (404) 251-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 99133 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861072746
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address4791 S Main St Ste 100, Acworth, GA 30101-5324

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Physiotherapy Associates Inc — 1458 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Acworth