Superior Healthcare of Woodstock LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SUPERIOR HEALTHCARE OF WOODSTOCK LLC

Practice address

8811 Highway 92
Suite 114
Woodstock, GA 30189-6508

Phone

(678) 777-7913

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Justin Paulk

Title

President

Phone

(678) 777-7913

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Beaumont Haney, FNP-BC

  • Family Nurse Practitioner
  • Woodstock, GA
  • NPI 1841534559
  NPD (past)
• Paula Sue Thibault, APRN NP-C

  • Family Nurse Practitioner
  • Canton, GA
  • NPI 1194082461
  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1154676161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NORTHLAKE TRL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 HIGHWAY 92",
            "address_2": "SUITE 114",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896508",
            "telephone_number": "678-777-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTHCARE OF WOODSTOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "PAULK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-777-7913",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Elizabeth Styron, P.T.
• Sullivan Chiropractic LLC
• Stephanie Grace Sullivan, D.C.
• Summit Surgical Partners, LLC
• Superior Healthcare LLC
• Darren Michael Surma, D.C.
• Susan R. Rudnicki, PH.D., P.C.
• Alexis Suttles, RBT
• Mary Alise Swantek, AUD
• Christine M Sweeny

• Specialist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.