Individual provider Active NPI

Mengzhou Yu

  • Physician Assistant
  • Snellville, GA
National Provider Identifier
1225814437
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2909 Brook Oak Trce
Snellville, GA 30078-6534
Phone
(845) 260-0460
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2909 Brook Oak Trce
Snellville, GA 30078-6534

Mailing address

2909 Brook Oak Trce
Snellville, GA 30078-6534
Phone (845) 260-0460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030000476 CT Practitioner - Physician Assistant 9133618143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Docs Medical IncGroup PAC ID 3173895000, 30 clinicians

Practice addresses (Care Compare)

141 Danbury Rd
New Milford, CT 06776-3428
Phone (203) 874-3682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Medical Inc CurrentSince Aug 23, 2025 Accepting new patients

Locations

1 Padanaram Rd
Danbury, CT 06811
Phone (203) 546-7320

317 Foxon Rd
East Haven, CT 06513
Phone (203) 484-9333

141 Danbury Rd
New Milford, CT 06776

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1225814437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 BROOK OAK TRCE",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786534",
            "telephone_number": "845-260-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 BROOK OAK TRCE",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786534",
            "telephone_number": "845-260-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "MENGZHOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.