Organization Active NPI

Suburban Medical Center

  • Primary Care Clinic/Center
  • Peachtree Corners, GA
National Provider Identifier
1154443414
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
035763 Issued in GA
Legal business name
SUBURBAN MEDICAL CENTER
Practice address
4989 Peachtree Pkwy Ste 100
Peachtree Corners, GA 30092-2589
Phone
(770) 582-1300
Fax
(770) 582-1317
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Dr. Sunit Singhal, M.D.NPI 1043282163
Title
Owner
Phone
(770) 582-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X GA 58812 GA
Primary Care Clinic/Center 261QP2300X 035763 GA Primary

Addresses

Primary practice location

4989 Peachtree Pkwy Ste 100
Peachtree Corners, GA 30092-2589

Mailing address

4989 Peachtree Pkwy Ste 100
Peachtree Corners, GA 30092-2589
Phone (770) 582-1300

Other identifiers 2

IdentifierTypeStateIssuer
DG6515OtherGARAIL ROAD MEDICARE
85002754GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000017 GA Part B Supplier - Clinic/Group Practice 3072531649 Receives reassigned benefits from 1 practitioner
Practice locations: Peachtree Corners, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0987021Suburban Medical Center4989 Peachtree Parkway, Suite 100, Peachtree Corners, GA 30092Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory

Locations

4989 Peachtree Pkwy
#100
Peachtree Corners, GA 30092
Phone (770) 317-3538

5075 Peachtree Pkwy
Ste 106
Peachtree Corners, GA 30092
Phone (770) 582-1300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDGBCA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1154443414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 PEACHTREE PKWY STE 100",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922589",
            "telephone_number": "770-582-1300",
            "fax_number": "770-582-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4989 PEACHTREE PKWY STE 100",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922589",
            "telephone_number": "770-582-1300",
            "fax_number": "770-582-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "SINGHAL",
        "authorized_official_first_name": "SUNIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-582-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA 58812",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "035763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DG6515",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002754G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.