Individual provider Active NPI

Susan R McGee, M.D.

  • Pediatrics Physician
  • Waynesboro, MS
National Provider Identifier
1063643476
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20758 Issued in MS
Practice address
713 Lomax Ave
Waynesboro, MS 39367-2556
Phone
(601) 671-2400
Fax
(601) 671-2405
NPI assigned
Aug 3, 2009
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 306984 NY
Pediatrics Physician 208000000X 20758 MS Primary

Addresses

Primary practice location

713 Lomax Ave
Waynesboro, MS 39367-2556

Mailing address

713 Lomax Ave
Waynesboro, MS 39367-2556
Phone (601) 671-2400

Other names 1

  • Susan R. Atkinson Former name

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

LicenseStateTypeSpecialty
20758MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc PastSince Jan 1, 2020 Accepting new patients
South Central Clinics, Inc PastSince Jan 1, 2020 Accepting new patients

Interoperability endpoints

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

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1063643476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 LOMAX AVE",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672556",
            "telephone_number": "601-671-2400",
            "fax_number": "601-671-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 LOMAX AVE",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672556",
            "telephone_number": "601-671-2400",
            "fax_number": "601-671-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "306984",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "20758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ATKINSON",
            "middle_name": "R.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynesboro, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.