Misty Meshell Suddeth, FNP-L

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN113269 NP Issued in GA

Practice address

508 East Morris Street
Dalton, GA 30721

Phone

(706) 272-1645

Fax

(706) 272-1648

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msuddeth35324@evernorth.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/9052/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/16559/brand/1/csg/1/fhir/r4

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.

• Tunnel Hill Walk in Medical Center, LLC

  • Family Medicine Physician
  • Tunnel Hill, GA
  • NPI 1265706550
  NPD
• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  NPD (past)
• Pulmonary and Sleep Medicine P C

  • Specialist
  • Dalton, GA
  • NPI 1265461172
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1083789788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 EAST MORRIS STREET",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30721",
            "telephone_number": "706-272-1645",
            "fax_number": "706-272-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 EAST MORRIS STREET",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30721",
            "telephone_number": "706-272-1645",
            "fax_number": "706-272-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDETH",
        "first_name": "MISTY",
        "middle_name": "MESHELL",
        "credential": "FNP-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN113269 NP",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN000007995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Strom, CCC-SLP
• Elizabeth M Stropnicky, M.D.
• Stubbs Prosthetics & Orthotics, Inc.
• Wesley Mabry Stuckey, M.D.
• John Sucher, M.D.
• Kailyn Sullivan, PTA
• Alexandria Macy Summerfield, PHARM.D.
• Amanda Summey
• Diane Sutphin
• Leslie Suttle

• Nurse Practitioner in Dalton, GA
• Providers in Dalton, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.