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NEISHA MARYAH ROUGELY MD
NPI 1790434942
Internal Medicine in Snellville, GA

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
2220 WISTERIA DR STE 102, SNELLVILLE, GA 30078(470) 679-1200(470) 679-1201 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 11, 2025, Jun 7, 2025, Apr 10, 2025 (3 updates tracked since 2025).

About Neisha Maryah Rougely Md NPPES

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

NEISHA MARYAH ROUGELY MD (NPI 1790434942) is an individual internal medicine provider in Snellville, Georgia, licensed in Georgia (103983) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1790434942
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNEISHA MARYAH ROUGELYCredential: MD
Location Address2220 WISTERIA DR STE 102Snellville, GA 30078-4604
Mailing Address2220 Wisteria Dr Ste 102Snellville, GA 30078-4604 · (470) 679-1200 · Fax (470) 679-1201
Phone(470) 679-1200
Fax(470) 679-1201
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1790434942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 103983
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2220 WISTERIA DR STE 102, Snellville, GA 30078
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Secondary Practice Location 1

Location 11000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-4073

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

Neisha Maryah Rougely Md 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 ID2769864370
PECOS Enrollment IDI20250724002517
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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.

PATRICIA ANNE BIRD FNP-C
Nurse Practitioner (Family)
2220 WISTERIA DR STE 102
SNELLVILLE, GA 30078
Gwinnett County (470) 679-1200

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 Neisha Rougely's NPI number?

The NPI number for Neisha Rougely is 1790434942. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Neisha Rougely located?

Neisha Rougely practices at 2220 Wisteria Dr Ste 102, Snellville, GA 30078. The listed phone number is (470) 679-1200.

What is Neisha Rougely's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neisha Rougely enrolled in Medicare?

Yes. Neisha Rougely 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.

Is Neisha Rougely affiliated with any hospitals?

According to CMS data, Neisha Rougely is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Neisha Rougely was last updated on November 11, 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.