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Active NPI 1639985245 Individual Practitioner Female Practitioner

Mariam K. Ishaq , PA-C

Physician Assistant • Canton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mariam Ishaq, PA-C is a certified Physician Assistant practicing in Canton, GA. With approximately 2 years of clinical experience since graduating from Mercer University School Of Medicine in 2024, Mariam Ishaq delivers high-quality medical care to the local community at 470 NORTHSIDE CHEROKEE BLVD STE 480.

Mariam Ishaq is affiliated with Northside Cardiovascular Professional Services, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

470 Northside Cherokee Blvd Ste 480

Canton, GA 301158034

Telephone 4048458200

Medicare Profile & Education

Medical School

Mercer University School Of Medicine

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Canton, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -6.4 yrs vs City Avg
City Avg: 8.4 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
51 Specialists

Practicing in Canton, GA (4726 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ishaq (2 Years) 2 Yrs
Canton Specialty Average (8.4 Years) 8.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 12436

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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Northside Cardiovascular Professional Services, Llc

450 Northside Cherokee Blvd, Canton, GA 301158015

Phone: 7702241000

Northside Cardiovascular Professional Services, Llc

1285 Upper Hembree Rd, Roswell, GA 300761143

Phone: 7703438565

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Tarun Ramayya , MD

Internal Medicine - Cardiovascular Disease

NPI 1336669209

Doctor of Medicine (M.D.)

Morgan Smith

Nurse Practitioner - Acute Care

NPI 1346060761
Carly Fuqua , NP-C

Nurse Practitioner

NPI 1366260770

Nurse Practitioner (Certified)

Dr. Heval Mohamed Kelli , MD

Internal Medicine - Cardiovascular Disease

NPI 1407114184

Doctor of Medicine (M.D.)

Sabrina Virani

Nurse Practitioner - Acute Care

NPI 1689557142
Joseph Smith , PA

Physician Assistant

NPI 1699586644

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address March 02, 2025

Registered at 470 NORTHSIDE CHEROKEE BLVD STE 480, CANTON, GA 301158034 (Tel: 4048458200)

NPI Profile Active December 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2024

Registered at 470 NORTHSIDE CHEROKEE BLVD STE 480, CANTON, GA 301158034 (Tel: 4048458200)

📍
Updated Business Mailing Address December 09, 2024

Registered at 1306 TELHURST CT NW, KENNESAW, GA 301441272 (Tel: 4045426902)

👤
Provider Name / Credentials Updated December 09, 2024

Recorded as MARIAM ISHAQ, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2024

Physician Assistant (License #12436 in GA)

🟢
Initial NPI Registration & Enumeration December 09, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639985245
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2024
Last Update: March 02, 2025
Sole Proprietor: No

Mailing Address

470 Northside Cherokee Blvd Ste 480

Canton, GA 301158034

Phone: 4048458200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.