P Praxis·MD
● Active Type 1 · Individual

Shannon Su

Plastic Surgery·Atlanta, GA· NPI 1235701442 · Enumerated 2021 · 4 years on NPI
Su is 1 of 95 plastic surgery providers in Atlanta and 1 of 284 in Georgia.
NPI age
4 years
Enumerated 2021-07-15
Primary specialty
Plastic Surgery
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 284 active plastic surgery providers in Georgia.

NPI age
4 years
↓ 14 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-07Enumerated in NPPES
2021 2026

Where they practice

Practice location
100 Woodruff Cir Ne Ste P375
Atlanta, GA 303221020
📞 4047275655
Mailing address
1600 Divisadero St Rm H2907
San Francisco, CA 941433010

Specialties

  • Plastic Surgery Primary
    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
    CA license #PTL19410 taxonomy 208200000X

Practice context

Part of a multi-provider practice. 439 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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