Suzanne A Childers, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN17911 Issued in GA

Practice address

1300 S Chestatee
Dahlonega, GA 30533-5503

Phone

(706) 867-6005

Fax

(706) 867-6012

NPI assigned

May 15, 2013

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9034/brand/1/csg/1/fhir/r4
• Direct secure messaging: suzanne.childers.1@9034.direct.athenahealth.com

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.

• Kim Kurtz MD Inc

  • Family Medicine Physician
  • Dahlonega, GA
  • NPI 1457513996
  Medicare reassignment NPD
• Foothills Family Medicine Inc

  • Family Medicine Physician
  • Dahlonega, GA
  • NPI 1992830996
  NPD (past)

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1083050215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S CHESTATEE",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305335503",
            "telephone_number": "706-867-6005",
            "fax_number": "706-867-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S CHESTATEE",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305335503",
            "telephone_number": "706-867-6005",
            "fax_number": "706-867-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "SUZANNE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN17911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Park Health & Rehabilitation LLC (Chelsey Park Health and Rehabilitation)
• Mycala Cherry, MS, APC, NCC
• Chestatee Counseling Center
• Chestatee Emergency Physicians, LLC
• Chestatee Surgical Associates
• Jessica Childress, PT, DPT
• Chita Eye Associates P.C.
• Hyerin Chung
• John M Clagett, DMD
• Cheryl Beth Clark, LCSW

• Family Nurse Practitioner in Dahlonega, GA
• Providers in Dahlonega, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.