Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174339097 Individual Practitioner Female Practitioner

Sirui Pan

Physician Assistant • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Sirui Pan is a certified Physician Assistant practicing in Suwanee, GA. With approximately 2 years of clinical experience since completing medical education in 2024, Sirui Pan delivers high-quality medical care to the local community at 4235 JOHNS CREEK PKWY STE A.

Sirui Pan does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4235 Johns Creek Pkwy Ste A

Suwanee, GA 300246038

Telephone 6784029550
Fax 6788025765
Associated Practice Facility / Clinic
🏢 Southeast Medical Group, P.c. Facility NPI 1558803486

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Suwanee, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
34 Specialists

Practicing in Suwanee, GA (4726 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pan (2 Years) 2 Yrs
Suwanee Specialty Average (9.0 Years) 9.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Jasmine Ling Duan

Nurse Practitioner - Family

NPI 1023767308
Emily Chung , FNP-C

Nurse Practitioner - Family

NPI 1225881287

Family Nurse Practitioner (Certified)

Dr. Myong Kang , MD

Family Medicine

NPI 1518233782

Doctor of Medicine (M.D.)

Shalyn Ahmadi , PA

Physician Assistant

NPI 1629051263

Physician Assistant

Alix Zackon , PA-C

Physician Assistant

NPI 1689309205

Physician Assistant (Certified)

Tanja Phillips

Nurse Practitioner - Family

NPI 1801662382

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 16, 2026

Registered at 4235 JOHNS CREEK PKWY STE A, SUWANEE, GA 300246038 (Tel: 6784029550)

📍
Updated Business Mailing Address January 16, 2026

Registered at 4300 N POINT PKWY STE 300, ALPHARETTA, GA 300224102 (Tel: 7704421911)

NPI Profile Active December 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2024

Registered at 405 LANCASTER AVE, GREER, SC 296501235 (Tel: 8648773052)

📍
Updated Business Mailing Address December 05, 2024

Registered at 405 LANCASTER AVE, GREER, SC 296501235

👤
Provider Name / Credentials Updated December 05, 2024

Recorded as SIRUI PAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration December 05, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174339097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2024
Last Update: January 16, 2026
Sole Proprietor: No

Mailing Address

4300 N Point Pkwy Ste 300

Alpharetta, GA 300224102

Phone: 7704421911

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.