NPIMap

Individual provider Active NPI

Adolfo Randolph Suarez, M.D.

  • Family Medicine Physician
  • Commerce, GA
National Provider Identifier
1104910157
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
053614 Issued in GA
Practice address
687 Hospital Rd
Commerce, GA 30529-1146
Phone
(706) 335-7909
NPI assigned
Oct 3, 2006
Last updated
Feb 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 053614 GA Primary

Addresses

Primary practice location

687 Hospital Rd
Commerce, GA 30529-1146

Mailing address

687 Hospital Rd
Commerce, GA 30529-1146
Phone (706) 335-7909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070420000516 GA Practitioner - Family Practice 8921103896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

687 Hospital Rd
Commerce, GA 30529-1146
Phone (706) 335-7909

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
053614GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce Adult Medicine and Pediatrics Family Medicine CurrentSince Sep 15, 2008 Accepting new patients

Locations

687 Hospital Rd
Commerce, GA 30529
Phone (706) 335-7909

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1104910157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 HOSPITAL RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291146",
            "telephone_number": "706-335-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 HOSPITAL RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291146",
            "telephone_number": "706-335-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "ADOLFO",
        "middle_name": "RANDOLPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, GA

Sources for this page

Verify at the official NPI Registry.