Organization Active NPI

Suburban Women'S Specialists, LLC

  • Obstetrics & Gynecology Physician
  • Johns Creek, GA
National Provider Identifier
1215047246
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SUBURBAN WOMEN'S SPECIALISTS, LLC
Practice address
6300 Hospital Pkwy Ste 200
Johns Creek, GA 30097-1984
Phone
(770) 476-1088
Fax
(770) 476-1082
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Suiza C. Chua, M.D.NPI 1518077536
Title
Physician
Phone
(770) 476-1088

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

6300 Hospital Pkwy Ste 200
Johns Creek, GA 30097-1984

Mailing address

PO Box 598
Suwanee, GA 30024-0598
Phone (770) 476-1088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061020000162 GA Part B Supplier - Clinic/Group Practice 9234135906 Receives reassigned benefits from 2 practitioners
Practice locations: Johns Creek, GA

National Provider Directory

National Provider Directory

Locations

6335 Hospital Pkwy
Ste 201
Johns Creek, GA 30097
Phone (770) 476-1088

4040 Johns Creek Pkwy
Ste 100
Suwanee, GA 30024
Phone (770) 338-2356

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1215047246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 598",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300240598",
            "telephone_number": "770-476-1088",
            "fax_number": "678-206-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PKWY STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971984",
            "telephone_number": "770-476-1088",
            "fax_number": "770-476-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN WOMEN'S SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "SUIZA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-476-1088",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.