Individual provider Active NPI

Eliana Suenkel, PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1154064012
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11255 Issued in GA
Practice address
340 Hodgson CT Ste 2
Savannah, GA 31406-1523
Phone
(912) 629-2290
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11255 GA Primary

Addresses

Primary practice location

340 Hodgson CT Ste 2
Savannah, GA 31406-1523

Mailing address

1000 Towne Center Blvd Ste 701
Pooler, GA 31322-4063
Phone (912) 303-4200

Other practice location 1

1000 Towne Center Blvd Ste 701
Pooler, GA 31322-4063
Phone (912) 303-4200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230315002320 GA Practitioner - Physician Assistant 8921472804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aga Professional Services LLCGroup PAC ID 3870768997, 175 clinicians

Practice addresses (Care Compare)

10055 Ford Ave
Suite 4a
Richmond Hill, GA 31324-3974
Phone (912) 303-4200

488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11255GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aga, LLC CurrentSince Jan 1, 2026 Accepting new patients
Aga Professional Services, LLC CurrentSince Feb 3, 2026 Accepting new patients

Locations

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

1000 Towne Center Blvd
Ste 701
Pooler, GA 31322
Phone (912) 303-4200

10055 Ford Ave
Ste 4A
Richmond Hill, GA 31324
Phone (912) 527-5352

1139 Lexington Ave
Ste A
Savannah, GA 31404
Phone (912) 303-4200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 2

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1154064012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 701",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224063",
            "telephone_number": "912-303-4200",
            "fax_number": "912-790-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HODGSON CT STE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061523",
            "telephone_number": "912-629-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Towne Center Blvd Ste 701",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224063",
            "country_code": "US",
            "telephone_number": "912-303-4200",
            "fax_number": "912-790-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUENKEL",
        "first_name": "ELIANA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.