Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235701442 Individual Practitioner Female Practitioner

Shannon Su

Plastic Surgery • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Shannon Su is a registered healthcare professional specializing in Plastic Surgery in Atlanta, GA. Practice services are available at 100 WOODRUFF CIR NE STE P375 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Woodruff Cir Ne Ste P375

Atlanta, GA 303221020

Telephone 4047275655

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.1 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
69 Specialists

Practicing in Atlanta, GA (190 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-09
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA PTL19410

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Catherine Yang

Student in an Organized Health Care Education/Training Program

NPI 1003549593
Qsanet Tekie

Student in an Organized Health Care Education/Training Program

NPI 1003576075
Joshua Kim

Student in an Organized Health Care Education/Training Program

NPI 1003584160
Tasfia Hussain

Student in an Organized Health Care Education/Training Program

NPI 1003659350
Lydia Fletcher

Student in an Organized Health Care Education/Training Program

NPI 1003659921
Kamsiyonna Adichie

Student in an Organized Health Care Education/Training Program

NPI 1003702515

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address October 09, 2025

Registered at 1600 DIVISADERO ST RM H2907, SAN FRANCISCO, CA 941433010

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2025

Plastic Surgery (License #PTL19410 in CA)

NPI Profile Active July 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2021

Registered at 100 WOODRUFF CIR NE STE P375, ATLANTA, GA 303221020 (Tel: 4047275655)

📍
Updated Business Mailing Address July 15, 2021

Registered at 100 WOODRUFF CIR NE STE P375, ATLANTA, GA 303221020

👤
Provider Name / Credentials Updated July 15, 2021

Recorded as SHANNON SU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 15, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Shannon Su. Be the first to share your experience!

Sign in to leave a review for Shannon Su

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1235701442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2021
Last Update: October 09, 2025
Sole Proprietor: No

Mailing Address

1600 Divisadero St Rm H2907

San Francisco, CA 941433010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.