Individual provider Active NPI

Sujatha Vivek, MD

  • Obstetrics & Gynecology Physician
  • Suwanee, GA
National Provider Identifier
1013927003
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
058204 Issued in GA
Practice address
2685 Peachtree Pkwy Ste 300
Suwanee, GA 30024-1048
Phone
(770) 771-5270
Fax
(770) 771-5279
NPI assigned
Aug 9, 2006
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 058204 GA Primary

Addresses

Primary practice location

2685 Peachtree Pkwy Ste 300
Suwanee, GA 30024-1048

Mailing address

2685 Peachtree Pkwy Ste 300
Suwanee, GA 30024-1048
Phone (770) 771-5270

Other practice location 1

4040 Old Milton Pkwy
Ste 200
Alpharetta, GA 30005-3427
Phone (770) 771-5270

Other practice location 2

1080 Sanders Rd Ste 200
Cumming, GA 30041-8598
Phone (770) 771-5270

Other names 1

  • Sujatha Rajaraman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060921000470 GA Practitioner - Obstetrics/Gynecology 8123023322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Group practices
North Atlanta Women's Care PCGroup PAC ID 9032431796, 2 clinicians

Practice addresses (Care Compare)

2685 Peachtree Pkwy
Suite 300
Suwanee, GA 30024-5901
Phone (770) 771-5270

3400 Old Milton Pkwy
Suite 300a
Alpharetta, GA 30005-3744

6300 Hospital Pkwy
Suite 375
John Creeks, GA 30097-1828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
058204GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Women's Care, PC Obstetrics & Gynecology CurrentSince Nov 1, 2013 Accepting new patients
North Atlanta Vascular Clinic, PC Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste A300
Alpharetta, GA 30005
Phone (404) 255-2057

4040 Old Milton Pkwy
Ste 200
Alpharetta, GA 30005
Phone (770) 771-5270

1080 Sanders Rd
Ste 200
Cumming, GA 30041
Phone (770) 771-5270

6300 Hospital Pkwy
Ste 375
Johns Creek, GA 30097
Phone (770) 771-5260

2685 Peachtree Pkwy
Ste 300
Suwanee, GA 30024
Phone (770) 771-5260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHIJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JADJCD/Endpoint/JADJCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1013927003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 PEACHTREE PKWY STE 300",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241048",
            "telephone_number": "770-771-5270",
            "fax_number": "770-771-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 PEACHTREE PKWY STE 300",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241048",
            "telephone_number": "770-771-5270",
            "fax_number": "770-771-5279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 Old Milton Pkwy",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300053427",
            "country_code": "US",
            "telephone_number": "770-771-5270",
            "fax_number": "771-771-5279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1080 Sanders Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300418598",
            "country_code": "US",
            "telephone_number": "770-771-5270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVEK",
        "first_name": "SUJATHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "058204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUJATHA",
            "last_name": "RAJARAMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.