DR. VERONICA SUDEKUM (NPI# 1295117653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295117653 |
| Entity Type | Individual |
| Full Name | DR. VERONICA SUDEKUM |
| Practice Address |
3780 Eisenhower Pkwy Macon GA 31206-0800 |
| Practice Telephone | 4786335556 |
| Practice Fax Number | 4787845496 |
| Mailing Telephone | 4786335556 |
| Mailing Fax Number | 4787845496 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 263324 | MA | Allopathic & Osteopathic Physicians |
| Y | 2081H0002X |
Physical Medicine & Rehabilitation Specialization: Hospice and Palliative Medicine |
8841 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 330 Mount Auburn St, Cambridge, MA 021385502 | 6174995571 |
| Street Address |
3780 EISENHOWER PKWY |
| City | MACON |
| State | GA |
| Zip Code | 31206-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492720 | Harry S Strothers IIi | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2005-07-21 |
| 1538621172 | Michael Prasad Reddy-miller | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-03 |
| 1982166757 | Latora Williams | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-02 |
| 1316409063 | Jean-philippe Morisset | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-02 |
| 1184186033 | Michael Tyler Land | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2019-04-01 |
| 1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| 1407318215 | Philomise Moncion | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
| 1902398282 | Parth Kiritkumar Patel | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-06-03 |
| 1013409317 | Shuichi Nakai | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-06-01 |
| 1841797289 | Christal Marie Uthaman | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
| 1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
| 1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
| 1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
| 1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
| 1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
| 1073063228 | Eisenhower Parkway Dental Group, LLC | Dentist | 1536 Eisenhower Pkwy, Macon, GA 31206 | 2016-10-12 |
| Find all providers in zip 31206 | ||||
| Taxonomy Code | 2081H0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Hospice and Palliative Medicine |
| A physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063678563 | Emory Medical Care Foundation Inc | Physical Medicine & Rehabilitation | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2008-08-04 |
| 1205059748 | Advanced Rehab, LLC. | Physical Medicine & Rehabilitation | 5172 Mcginnis Ferry Rd, Alpharetta, GA 30005-1792 | 2007-04-11 |
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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.