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

Serena Shah Frye, PA-C

Individual provider Surgical Physician Assistant · NPI 1194243899

Serena Shah Frye, PA-C is a Physician Assistant in Marietta, Georgia. Qualified in 2017, 9 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Louisiana.

Years since qualifying
9
Licensed in
GA, LA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

55 Whitcher St NE Ste 160
Marietta, GA 30060-1160
Phone: (770) 590-4180
Fax: (770) 590-4186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 — (318) 227-9777

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9829 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 306999 (LA)

Record details

NPI number1194243899
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 1, 2017
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Marietta