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BETSNAT MENGESHA
NPI 1053279653
Physician Assistant in Tucker, GA

Active since January 13, 2026PECOS Enrolled
4292 CHAMBLEE TUCKER RD, TUCKER, GA 30084(770) 718-1517 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Betsnat Mengesha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETSNAT MENGESHA (NPI 1053279653) is an individual physician assistant in Tucker, Georgia and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2025).

NPPES Registry Identity

NPI1053279653
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBETSNAT MENGESHA
Location Address4292 CHAMBLEE TUCKER RDTucker, GA 30084-2103
Mailing Address4292 Chamblee Tucker RdTucker, GA 30084-2103
Phone(770) 718-1517
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2025
Enumeration DateJanuary 13, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1053279653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
4292 CHAMBLEE TUCKER RD, Tucker, GA 30084
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Betsnat Mengesha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153890801
PECOS Enrollment IDI20260512003109
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEODEZ
General Practice
4292 CHAMBLEE TUCKER RD
TUCKER, GA 30084
Dekalb County (770) 718-1517
K-MATA LLC
Family Medicine
4292 CHAMBLEE TUCKER RD
TUCKER, GA 30084
Dekalb County (770) 718-1517

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Betsnat Mengesha's NPI number?

The NPI number for Betsnat Mengesha is 1053279653. It was assigned to this individual provider in the NPPES registry on January 13, 2026.

Where is Betsnat Mengesha located?

Betsnat Mengesha practices at 4292 Chamblee Tucker Rd, Tucker, GA 30084. The listed phone number is (770) 718-1517.

What is Betsnat Mengesha's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Betsnat Mengesha enrolled in Medicare?

Yes. Betsnat Mengesha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Betsnat Mengesha was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.