Mariam K. Ishaq, PA-C
Physician Assistant · Canton, GA
Mariam K. Ishaq, PA-C is a physician assistant with a practice address in Canton, Georgia, and NPI 1639985245, issued on Dec 9, 2024. Check the license (Georgia 12436, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mariam K. Ishaq
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 12436 GA
Self-reported in NPPES; status is on the state search - Practice location
- 470 Northside Cherokee Blvd Ste 480, Canton, GA 30115
- Phone
- (404) 845-8200
- Enumerated
- Dec 9, 2024
- Record last updated
- Mar 2, 2025
- Medicare enrollment
- Enrolled (PECOS I20250115002251); accepts Medicare assignment
- Medical or professional school
- Mercer University School Of Medicine, 2024
- Entity
- Type 1 · individual
Also registered at 470 Northside Cherokee Blvd Ste 480
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Morgan Altamirano, AGACNP-CNurse Practitioner1114606910
- Michael Dunn, PACPhysician Assistant1821388638
- Venkata Sai Gogineni, M.D.Interventional Cardiology Physician1356728919
- Sajeevani Kim, MD, PHDCardiovascular Disease Physician1487830493
- Vasanth Sathiyakumar, MDCardiovascular Disease Physician1154716082
Verify Mariam K. Ishaq in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 12436Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Northside Cardiovascular Professional Services, LLCRoswell, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
50 physician assistant records list a practice address in Canton
They are 50 of the 1,331 NPPES records with a practice address in Canton, and 4,662 physician assistant records in Georgia.
All 50 in Canton → All 4,662 in Georgia → Every provider in Canton →
Other physician assistant records in Georgia
- Kirsten Aanensen, PA-CAtlanta, GA1669367702
- Elizabeth Aaron, PA-CMarietta, GA1174187967
- C Aasgaard, PADecatur, GA1447234869
- Lindsay Abernethy, PA-CSavannah, GA1407098189
- Aimee Abide, PA-CAtlanta, GA1902988157
- Abimbola Abiodun, P.A.Atlanta, GA1487749867
- Arlisia Ables-JonesAtlanta, GA1487385548
- Serena Abouzeidan, PA-CAtlanta, GA1710851340
- Julie Abrahamson, PA-CDoraville, GA1134395866
- Tala Abu-Shami, PA-CAtlanta, GA1235987983
Common questions
What is Mariam K. Ishaq, PA-C's NPI number?
Mariam K. Ishaq, PA-C's National Provider Identifier (NPI) is 1639985245, issued on Dec 9, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Mariam K. Ishaq, PA-C located?
The NPPES record lists a practice address at 470 Northside Cherokee Blvd Ste 480, Canton, GA, 30115. Phone: (404) 845-8200. Providers update this record themselves, so call before visiting.
How can I verify Mariam K. Ishaq, PA-C's license?
NPPES lists Georgia license number 12436, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.