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Shanae Mason , PA-C

Physician Assistant β€’ Suwanee, GA

Active NPI 1922557537 Individual Practitioner Female Practitioner
Practice location in NPPES

1120 Peachtree Industrial Blvd
Suwanee, GA 300242013

Call 4703265560 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1120 Peachtree Industrial Blvd

Suwanee, GA 300242013

Telephone 4703265560
Organization at the Same NPPES Address or Phone
Mustard Seed Pediatric Dentistry, Llc Facility NPI 1093048563

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Beaufort, SC. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shanae Mason has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shanae Mason as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Suwanee and Georgia

38 active clinicians are listed under Physician Assistant with a practice address in Suwanee, GA (4,828 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Suwanee

10.5% of these 38 clinicians have the CMS telehealth indicator.

50% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES GA 11060

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES SC 1507

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20221122000309

Enrollment State Jurisdiction

GA

PECOS Control ID

9133493752

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

990 Ribaut Rd

Beaufort, SC 299028011

Phone: 8435225965

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1790897494

Doctor of Optometry

Dr. Darlene Davis , DDS

Dentist - Endodontics

NPI 1538379862

Doctor of Dental Surgery

Dr. Sonali Ganguly , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1215666862

Doctor of Medicine (M.D.)

NPI 1114938172

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location August 01, 2022

Registered at 1120 PEACHTREE INDUSTRIAL BLVD, SUWANEE, GA 300242013 (Tel: 4703265560)

πŸ“
Updated Business Mailing Address August 01, 2022

Registered at 2260 HAWKS BLUFF TRL, LAWRENCEVILLE, GA 300441812 (Tel: 8433688355)

🏒
Secondary Practice Location Registered August 01, 2022

Additional practice office at 990 Ribaut Rd, Beaufort, SC 299028011

πŸ‘€
Provider Name / Credentials Updated August 01, 2022

Recorded as SHANAE MASON, PA-C

βœ…
NPI Profile Active September 20, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address September 20, 2017

Registered at 80 JESSE HILL, JR. DRIVE, SE, ATLANTA, GA 30303 (Tel: 4046162241)

πŸ“
Updated Practice Location September 20, 2017

Registered at 990 RIBAUT RD, BEAUFORT, SC 299028011 (Tel: 8435225965)

πŸ‘€
Provider Name / Credentials Updated September 20, 2017

Recorded as SHANAE WHITE, RD, LD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2017

Dietitian, Registered (license number reported to NPPES: SC 1507)

βœ…
NPI Profile Active September 23, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 23, 2016

Registered at 990 RIBAUT RD, BEAUFORT, SC 299028011 (Tel: 8435225965)

πŸ“
Business Mailing Address (Initial Record) September 23, 2016

Registered at 990 RIBAUT RD, BEAUFORT, SC 299028011 (Tel: 8435225965)

πŸ‘€
Provider Name / Credentials (Initial Record) September 23, 2016

Recorded as SHANAE WHTIE, RD, LD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2016

Dietitian, Registered (license number reported to NPPES: SC 1507)

🟒
Initial NPI Registration & Enumeration September 23, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922557537
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2016
Last Update: August 01, 2022
Sole Proprietor: Yes

Other Physician Assistants in Suwanee

All Physician Assistants in Suwanee

Mailing Address

2260 Hawks Bluff Trl

Lawrenceville, GA 300441812

Phone: 8433688355

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.