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SIRUI PAN
NPI 1174339097
Physician Assistant in Suwanee, GA

Active since December 05, 2024PECOS EnrolledAccepts Medicare Assignment
4235 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024(678) 402-9550(678) 802-5765 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2026, Dec 5, 2024 (2 updates tracked since 2024).

About Sirui Pan NPPES

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

SIRUI PAN (NPI 1174339097) is an individual physician assistant in Suwanee, Georgia and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174339097
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSIRUI PAN
Location Address4235 JOHNS CREEK PKWY STE ASuwanee, GA 30024-6038
Mailing Address4300 N Point Pkwy Ste 300Alpharetta, GA 30022-4102 · (770) 442-1911 · Fax (770) 442-0306
Phone(678) 402-9550
Fax(678) 802-5765
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 5, 2024
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1174339097 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.
4235 JOHNS CREEK PKWY STE A, Suwanee, GA 30024
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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 and accepts Medicare assignment

Sirui Pan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305324328
PECOS Enrollment IDI20260131000922
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 30024 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 7

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

JASMINE ROSE LING DUAN
Nurse Practitioner (Family)
4235 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024
Gwinnett County (678) 402-9550
KHUSHBUBEN PATEL M.D.
Family Medicine
4235 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024
Gwinnett County (770) 442-1911
MS. ANU GULATI MD
Family Medicine
4235 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024
Gwinnett County (770) 442-1911
MR. MYONG JIN KANG MD
Family Medicine
4235 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024
Gwinnett County (678) 402-9550
SHALYN B AHMADI P.A.
Physician Assistant
4235 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024
Gwinnett County (678) 402-9550
ALIX ZACKON PA-C
Physician Assistant
4235 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024
Gwinnett County (678) 402-9550
TANJA PHILLIPS
Nurse Practitioner (Family)
4235 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024
Gwinnett County (678) 402-9550

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 Sirui Pan's NPI number?

The NPI number for Sirui Pan is 1174339097. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Where is Sirui Pan located?

Sirui Pan practices at 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024. The listed phone number is (678) 402-9550.

What is Sirui Pan's specialty?

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

Is Sirui Pan enrolled in Medicare?

Yes. Sirui Pan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sirui Pan was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.