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SHEKOFE ASHLEY NEMATOLLAHI PA
NPI 1396013652
Physician Assistant in Roswell, GA

Active since December 01, 2011Opted out of Medicare · through Jan 1, 2028
1357 HEMBREE RD STE 235, ROSWELL, GA 30076(678) 802-8665(678) 540-4250 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shekofe Ashley Nematollahi Pa NPPES

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

SHEKOFE ASHLEY NEMATOLLAHI PA (NPI 1396013652) is an individual physician assistant in Roswell, Georgia, licensed in Georgia (006300) and active in the NPI registry since December 2011. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1396013652
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHEKOFE ASHLEY NEMATOLLAHICredential: PA
Location Address1357 HEMBREE RD STE 235Roswell, GA 30076-5722
Mailing Address3450 Dallas Hwy Sw Ste 200Marietta, GA 30064 · (678) 802-8665 · Fax (678) 540-4250
Phone(678) 802-8665
Fax(678) 540-4250
Sole ProprietorNo
Enumeration DateDecember 1, 2011
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1396013652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 006300
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.
1357 HEMBREE RD STE 235, Roswell, GA 30076
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Secondary Practice Location 1

Location 13405 Dallas Hwy SW Ste 200Marietta, GA 30064-6426 · Phone (678) 802-8665 · Fax (678) 540-4250

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shekofe Ashley Nematollahi Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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

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

KAREN W BRIERLEY PA
Physician Assistant (Medical)
1357 HEMBREE RD STE 235
ROSWELL, GA 30076
Fulton County (678) 802-8665

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 Shekofe Nematollahi's NPI number?

The NPI number for Shekofe Nematollahi is 1396013652. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Shekofe Nematollahi located?

Shekofe Nematollahi practices at 1357 Hembree Rd Ste 235, Roswell, GA 30076. The listed phone number is (678) 802-8665.

What is Shekofe Nematollahi's specialty?

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

Is Shekofe Nematollahi enrolled in Medicare?

No. Shekofe Nematollahi has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Shekofe Nematollahi accept?

Health plans from Oscar Insurance Company list Shekofe Nematollahi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shekofe Nematollahi was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.