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SHANNON SU
NPI 1235701442
Plastic Surgery in Atlanta, GA

Active since July 15, 2021PECOS Enrolled
100 WOODRUFF CIR NE STE P375, ATLANTA, GA 30322(404) 727-5655 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2025, Jul 15, 2021 (2 updates tracked since 2021).

About Shannon Su NPPES

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

SHANNON SU (NPI 1235701442) is an individual plastic surgery provider in Atlanta, Georgia, licensed in California (PTL19410) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235701442
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameSHANNON SU
Location Address100 WOODRUFF CIR NE STE P375Atlanta, GA 30322-1020
Mailing Address1600 Divisadero St Rm H2907San Francisco, CA 94143-3010
Phone(404) 727-5655
Sole ProprietorNo
Enumeration DateJuly 15, 2021
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1235701442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · PTL19410
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
100 WOODRUFF CIR NE STE P375, Atlanta, GA 30322
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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)

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

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 30322 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 20

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

CATHERINE YANG
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE STE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
TASFIA HUSSAIN
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE STE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
LYDIA RUTH FLETCHER
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE STE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
ANNE ELIZABETH DOROTHY HEYSE
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE STE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
CHRISTOPHER LI HE
Thoracic Surgery (Cardiothoracic Vascular Surgery)
100 WOODRUFF CIR NE STE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
AYAHIRO DAIANA TAKASHIMA
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE STE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
SANA KAMBOJ
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE STE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655
AHANNA U ONYENSO
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE STE P375
ATLANTA, GA 30322
Dekalb County (404) 727-5655

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 Shannon Su's NPI number?

The NPI number for Shannon Su is 1235701442. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Shannon Su located?

Shannon Su practices at 100 Woodruff Cir NE Ste P375, Atlanta, GA 30322. The listed phone number is (404) 727-5655.

What is Shannon Su's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Shannon Su enrolled in Medicare?

Yes. Shannon Su is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Su was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.