Shirley S Rosales Mejia, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12524 Issued in GA

Practice address

3905 Johns Creek CT Ste 200
Suwanee, GA 30024-1225

Phone

(770) 495-0799

Fax

(770) 495-0783

NPI assigned

Jul 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Colon and Rectal Clinic, LLC

  • Colon & Rectal Surgery Physician
  • Suwanee, GA
  • NPI 1003243072
  Medicare reassignment
• Comprehensive Primary Care, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Lawrenceville, GA
  • NPI 1487120820
  Medicare reassignment

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1669200192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 JOHNS CREEK CT STE 200",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241225",
            "telephone_number": "770-495-0799",
            "fax_number": "770-495-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 JOHNS CREEK CT STE 200",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241225",
            "telephone_number": "770-495-0799",
            "fax_number": "770-495-0783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 Walther Road",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "30046",
            "country_code": "US",
            "telephone_number": "770-495-0799",
            "fax_number": "770-495-0783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "761 Walther Road",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "30046",
            "country_code": "US",
            "telephone_number": "678-888-2273",
            "fax_number": "770-495-0783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 Johns Creek Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241225",
            "country_code": "US",
            "telephone_number": "678-888-2273",
            "fax_number": "678-888-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "631 Professional Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300463370",
            "country_code": "US",
            "telephone_number": "678-312-3290",
            "fax_number": "678-312-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES MEJIA",
        "first_name": "SHIRLEY",
        "middle_name": "S",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanilda Carmen Rodriguez, BCBA
• Heather Rogers, RBT
• Lauren Rogers, RBT
• Jill B Ronske
• Ramenise Janice Rosado Cartagena
• Cameron Rosato, RBT
• Jay L Rosenheck, D.D.S.
• Jacquelyn Alexandra Ross, OTR/L
• Melanie Ross, LAPC
• Jeffrey Ira Roth, MD

• Physician Assistant in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.