Individual provider Active NPI

Susan Butler Sumner, M.D.

  • Family Medicine Physician
  • Cave Spring, GA
National Provider Identifier
1205896305
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29851 Issued in GA
Practice address
28 Rome Rd
Cave Spring, GA 30124-0000
Phone
(706) 777-8775
NPI assigned
Mar 24, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29851 GA Primary
Family Medicine Physician 207Q00000X 01201822021 GA

Addresses

Primary practice location

28 Rome Rd
Cave Spring, GA 30124-0000

Mailing address

28 Rome Rd
Cave Spring, GA 30124-0000
Phone (706) 777-8775

Other identifiers 2

IdentifierTypeStateIssuer
00344825AMedicaidGA
008704420MedicaidAL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000306 GA Practitioner - Family Practice 9032253356 Practice locations: Cave Spring, GA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 Rome Rd SW
Cave Spring, GA 30124-2701
Phone (706) 777-8775

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions305
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01201822021GAMDFamily Medicine Physician
29851GAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: cavespringmedicalcenter.susanbutlersumner@154564.advancedmd-direct.com

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1205896305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ROME RD",
            "city": "CAVE SPRING",
            "state": "GA",
            "postal_code": "301240000",
            "telephone_number": "706-777-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ROME RD",
            "city": "CAVE SPRING",
            "state": "GA",
            "postal_code": "301240000",
            "telephone_number": "706-777-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER SUMNER",
        "first_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-09-29",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "29851",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "01201822021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00344825A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008704420",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Spring, GA

Sources for this page

Verify at the official NPI Registry.