Mary Jasheil Chupuico
Mary Jasheil Chupuico is a Physician Assistant in Marietta, Georgia. Qualified in 2025, 1 year ago. Practices with Resurgens, LLC, a 182-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 1
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
790 Church St NE Ste 300Marietta, GA 30060-8940
Phone: (770) 422-3290
Fax: (770) 422-0287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 13721 (GA) |
|---|
Record details
| NPI number | 1295551729 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 30, 2024 |
| Last updated in NPPES | February 10, 2026 |
| Certification date | February 10, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Resurgens, Llc — 182 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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