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

Noor Khan

Individual provider Physician Assistant · NPI 1205628864

Noor Khan is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

771 Old Norcross Rd Ste 200
Lawrenceville, GA 30046-4980
Phone: (770) 339-1387
Fax: (770) 962-7868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 13322 (GA)

Record details

NPI number1205628864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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