C Rodney Susong MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

C RODNEY SUSONG MD PC

Practice address

2051 Hamill Rd
Ste 301a
Hixson, TN 37343

Phone

(423) 870-3376

Fax

(423) 877-1387

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Rodney Susong, MDNPI 1851402556

Title

President

Phone

(423) 870-3376

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Rodney Susong, MD

  • Dermatology Physician
  • Hixson, TN
  • NPI 1851402556
  Authorized official Same address or phone
• Wesley King Galen, MD

  • Dermatology Physician
  • Chattanooga, TN
  • NPI 1326073974
  NPD (past)
• Joseph Duke Ballard III, PA

  • Physician Assistant
  • Dalton, GA
  • NPI 1144331943
  NPD (past)
• Sharon A Brown, MSN, FNP, DCNP

  • Family Nurse Practitioner
  • Blue Ridge, GA
  • NPI 1710098413

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073693016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 ISLAND POINT DR",
            "city": "HARRISON",
            "state": "TN",
            "postal_code": "37341",
            "telephone_number": "423-344-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD",
            "address_2": "STE 301A",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37343",
            "telephone_number": "423-870-3376",
            "fax_number": "423-877-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C RODNEY SUSONG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUSONG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-870-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Burgess, DPT
• Erin Burke, DPT
• Yvette L Burns, DDS,MS
• Joseph R Burton III, PHARMD
• Alison Buttram, FNP
• Sophie Cai, MD
• Thomas Conrad Caldwell Jr., M.D.
• Caliber Chiropractic, PLLC
• Brett Aaron Caminez, D.C.
• Brent Jeremy Campbell, D.O.

• Dermatology Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.