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

Neisha Maryah Rougely, MD

Individual provider Internal Medicine Physician · NPI 1790434942

Neisha Maryah Rougely, MD is an Internal Medicine in Snellville, Georgia. Qualified in 2022, 4 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2220 Wisteria Dr Ste 102
Snellville, GA 30078-4604
Phone: (470) 679-1200
Fax: (470) 679-1201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 — (678) 312-4073

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 103983 (GA)

Record details

NPI number1790434942
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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