Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aya Haseeb Mansour, PA

Individual provider Physician Assistant · NPI 1508557208

Aya Haseeb Mansour, PA is a Physician Assistant in Marietta, Georgia. Qualified in 2023, 3 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

340 Kennestone Hospital Blvd Ste 100
Marietta, GA 30060-1158
Phone: (770) 281-5100
Fax: (678) 581-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1114 Sunny Field Ln, Lawrenceville, GA 30043-6703 — (678) 266-7445

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1508557208
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 15, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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