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

Individual provider Physician Assistant · NPI 1396013652

Shekofe Ashley Nematollahi, PA is a Physician Assistant in Roswell, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2011
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

1357 Hembree Rd Ste 235
Roswell, GA 30076-5722
Phone: (678) 802-8665
Fax: (678) 540-4250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3405 Dallas Hwy Sw Ste 200, Marietta, GA 30064-6426 — (678) 802-8665

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006300 (GA)

Record details

NPI number1396013652
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 1, 2011
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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