Active NPI
Autumn Session
- Other Specialist/Technologist
- Suwanee, GA
National Provider Identifier
1184432734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Practice address
- 1500 Peachtree Industrial Blvd Ste 165
Suwanee, GA 30024-8490 - Phone
- (470) 618-8032
- NPI assigned
- Dec 27, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
1500 Peachtree Industrial Blvd Ste 165
Suwanee, GA 30024-8490
Mailing address
3731 Meeting St
Duluth, GA 30096-3182
Phone (470) 618-8032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1184432734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3731 MEETING ST",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963182",
"telephone_number": "470-618-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PEACHTREE INDUSTRIAL BLVD STE 165",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300248490",
"telephone_number": "470-618-8032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SESSION",
"first_name": "AUTUMN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.