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

Betsnat Mengesha

Individual provider Physician Assistant · NPI 1053279653

Betsnat Mengesha is a Physician Assistant in Tucker, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2025, 1 year ago. Licensed in Georgia.

Years since qualifying
1
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2026

Practice location Address checks out

4292 Chamblee Tucker Rd
Tucker, GA 30084-2103
Phone: (770) 718-1517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (GA)

Record details

NPI number1053279653
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2026
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 8, 2026
Mailing address4292 Chamblee Tucker Rd, Tucker, GA 30084-2103

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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