Active NPI
Suzanne Hamilton Nutt, M.D.
- Neurology Physician
- Gastonia, NC
National Provider Identifier
1033158258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 93-00259
- Practice address
- 2240 Remount Rd
Gastonia, NC 28054-4725 - Phone
- (704) 671-7483
- Fax
- (704) 671-5331
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 93-00259 | NC | Primary |
Addresses
Primary practice location
2240 Remount Rd
Gastonia, NC 28054-4725
Mailing address
2240 Remount Rd
Gastonia, NC 28054-4725
Phone (704) 671-7483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8963430 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93-00259 | NC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1033158258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 REMOUNT RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544725",
"telephone_number": "704-671-7483",
"fax_number": "704-671-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 REMOUNT RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544725",
"telephone_number": "704-671-7483",
"fax_number": "704-671-5331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUTT",
"first_name": "SUZANNE",
"middle_name": "HAMILTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "93-00259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8963430",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
- Novant Medical Group, Inc. (Gaston Family Docs)
- Novant Medical Group, Inc. (Mid Carolina Cardiology)
- Farzad Nowrouzzadeh, M.D.
- Nurturing Wellness Counseling Services, PLLC
- Kim Nuss
- Sarah Catherine Nuzzi, MSW
- Ike Chidi Nwanonyiri, MD
- Nonye Evarista Nwokedi, CRNA
- Ann M Nye, NP
- Lum Ntumngia Nyindem, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.