DR. SUSAN SUTPHEN (NPI# 1083868939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083868939 |
| Entity Type | Individual |
| Full Name | DR. SUSAN SUTPHEN |
| Credential | MD |
| Practice Address |
6760 Jimmy Carter Blvd Suite 150 Norcross GA 30071-1278 |
| Mailing Address |
791 Oak St Hapeville GA 30354-1748 |
| Practice Telephone | 6788922000 |
| Mailing Telephone | 4046012000 |
| Mailing Fax Number | 4045590257 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEOGIA MEDICAL LICENSE | 037396 | 01 |
| Street Address |
6760 JIMMY CARTER BLVD SUITE 150 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720340995 | Mri Imaging Specialists Corp | Clinic/Center | 6760 Jimmy Carter Blvd, Norcross, GA 30071-1278 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528509072 | Georgia Network Physicians, LLC | Specialist | 7742 Spalding Dr Ste 123, Norcross, GA 30092-4207 | 2017-03-16 |
| 1407305204 | Atlanta Joint Specialist LLC | Specialist | 6315 Spalding Dr Ste C, Norcross, GA 30092-4653 | 2016-09-22 |
| 1306212865 | Christina Barnard | Specialist | 5349 Sherwin Dr, Norcross, GA 30093-4972 | 2015-08-19 |
| 1265618797 | William W. Crone, Md, PC | Specialist | 3169 Holcomb Bridge Rd Ste 760, Norcross, GA 30071-1315 | 2008-01-15 |
| 1356523385 | Jibriallah Bermudas | Specialist | 1197 Beaver Ruin Rd Ste 102, Norcross, GA 30093-6802 | 2007-11-30 |
| 1912115486 | James Bowcock | Specialist | 4530 S Berkeley Rd, B, Norcross, GA 30071 | 2007-05-18 |
| 1912916537 | Edmund Robert Clement | Specialist | 3965 Holcomb Bridge Rd, Suite100, Norcross, GA 30092-2207 | 2006-08-05 |
| 1144216631 | Willie Y.w. Chen | Specialist | 5825 Buford Hwy, Ste 100, Norcross, GA 30071 | 2005-09-21 |
| 1003244765 | Dr. Kissing Ob & Gyn | Specialist | 5720 Buford Hwy, 102, Norcross, GA 30071-2577 | 2013-10-16 |
| 1104251404 | Hb Pediatrics Inc | Specialist | 3957 Holcomb Bridge Rd Ste 100, Norcross, GA 30092-5244 | 2013-09-05 |
| Find all providers in NORCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.