1. Home
  2. Directory
  3. Georgia
  4. Suwanee
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHIRLEY S ROSALES MEJIA PAC
NPI 1669200192
Physician Assistant in Suwanee, GA

Active since July 25, 2024PECOS Enrolled
3905 JOHNS CREEK CT STE 200, SUWANEE, GA 30024(770) 495-0799(770) 495-0783 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Jul 25, 2024 (2 updates tracked since 2024).

About Shirley S Rosales Mejia Pac NPPES

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

SHIRLEY S ROSALES MEJIA PAC (NPI 1669200192) is an individual physician assistant in Suwanee, Georgia, licensed in Georgia (12524) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1669200192
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHIRLEY S ROSALES MEJIACredential: PAC
Location Address3905 JOHNS CREEK CT STE 200Suwanee, GA 30024-1225
Mailing Address3905 Johns Creek Ct Ste 200Suwanee, GA 30024-1225 · (770) 495-0799 · Fax (770) 495-0783
Phone(770) 495-0799
Fax(770) 495-0783
Sole ProprietorNo
Enumeration DateJuly 25, 2024
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1669200192 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 · 12524
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.
3905 JOHNS CREEK CT STE 200, Suwanee, GA 30024
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1631 Professional Dr Ste 360Lawrenceville, GA 30046-3370 · Phone (678) 312-3290 · Fax (678) 312-2733
Location 23905 Johns Creek Ct Ste 200Suwanee, GA 30024-1225 · Phone (678) 888-2273 · Fax (678) 888-2200
Location 3761 Walther Road, Suite 300Lawrenceville, GA 30046 · Phone (770) 495-0799 · Fax (770) 495-0783
Location 4761 Walther Road, Suite 200Lawrenceville, GA 30046 · Phone (678) 888-2273 · Fax (770) 495-0783

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley S Rosales Mejia Pac 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 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.

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 Shirley Rosales Mejia's NPI number?

The NPI number for Shirley Rosales Mejia is 1669200192. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Shirley Rosales Mejia located?

Shirley Rosales Mejia practices at 3905 Johns Creek Ct Ste 200, Suwanee, GA 30024. The listed phone number is (770) 495-0799.

What is Shirley Rosales Mejia's specialty?

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

Is Shirley Rosales Mejia enrolled in Medicare?

Yes. Shirley Rosales Mejia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shirley Rosales Mejia was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.