Mazen Shafiq Fakhouri, PA-C
NPI 1205164217ActiveIndividual· Physician Assistant· Augusta, GA
Physician Assistant (PA-C) in Augusta, Georgia, trained at Medical College of Georgia School of Medicine (class of 2009). 91 Medicare patients in 2024, $8,521 paid; all of their 139 Part D prescriptions were generic. Vertex Pharmaceuticals Incorporated reported $17.87 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1205164217 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 2, 2009 |
| Last updated in NPPES | Jan 18, 2024 |
| Certified by provider | Jan 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 005712 | GA |
| Physician Assistant, Surgical | 363AS0400X | 005712 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 91 |
|---|---|
| Services billed | 172 across 21 procedure codes |
| Paid by Medicare | $8,521 |
Part D prescriptions in 2024
| Prescriptions (claims) | 139 · 140 30-day fills |
|---|---|
| Patients | 91 |
| Total drug cost | $772.85 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Physician Assistant |
Medical groups
- Wellstar Medical Group LLCMarietta, GA · 3,093 clinicians
- Georgialina Physical Therapy Associates LLCAugusta, GA · 371 clinicians
Hospital affiliation
- Wellstar McG Health, Affiliated With Med ColAugusta, GA
Industry payments (Open Payments)
- 2025$17.87 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vertex Pharmaceuticals Incorporated | $17.87 | 1 |
What the 2025 payments were for
- Food and Beverage$17.87 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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