Individual provider Active NPI

Suzanne Wright Schuessler, M.D.

  • Specialist
  • Lagrange, GA
National Provider Identifier
1083673867
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
030541 Issued in GA
Practice address
1527 Vernon Rd
Lagrange, GA 30240-4146
Phone
(706) 883-6363
Fax
(706) 884-5588
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 030541 GA Primary

Addresses

Primary practice location

1527 Vernon Rd
Lagrange, GA 30240-4146

Mailing address

1527 Vernon Rd
Lagrange, GA 30240-4146
Phone (706) 883-6363

Other identifiers 6

IdentifierTypeStateIssuer
85002467GMedicaidGA
009935280MedicaidAL
00364889CMedicaidGA
582557935OtherGATAX ID
085352OtherGABCBS
529909780MedicaidAL

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
030541GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne W Schuessler Specialist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: suzanne.schuessler@westgahealth.gadirect.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1083673867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404146",
            "telephone_number": "706-883-6363",
            "fax_number": "706-884-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404146",
            "telephone_number": "706-883-6363",
            "fax_number": "706-884-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUESSLER",
        "first_name": "SUZANNE",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "030541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002467G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935280",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00364889C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582557935",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085352",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529909780",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.