Individual provider Active NPI

SE Young Suh, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Roswell, GA
National Provider Identifier
1215355425
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
109507 Issued in GA
Practice address
11731 Pointe PL
Roswell, GA 30076-4636
Phone
(770) 284-3150
Fax
(770) 284-3170
NPI assigned
Apr 3, 2014
Last updated
Jun 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 109507 GA Primary

Addresses

Primary practice location

11731 Pointe PL
Roswell, GA 30076-4636

Mailing address

11731 Pointe PL
Roswell, GA 30076-4636
Phone (770) 284-3150

Other practice location 1

4015 Johns Creek Pkwy
Suwanee, GA 30024-1253
Phone (770) 284-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CA, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171019001967 AL Practitioner - Endocrinology 4082992276 Reassigns benefits to 1 organization
I20220317000753 CA Practitioner - Endocrinology 4082992276
I20260403002727 GA Practitioner - Endocrinology 4082992276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11731 Pointe PL
Roswell, GA 30076-4636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A170795CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Regents Univ of California UCSF Endocrinology, Diabetes & Metabolism CurrentSince Mar 9, 2022 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Aug 14, 2017 Accepting new patients
Arthritis & Rheumatology Center PC CurrentSince May 1, 2026 Accepting new patients
Arthritis & Rheumatology Center PC CurrentSince May 1, 2026 Accepting new patients
Jackson Hospital and Clinic, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Aug 14, 2017 Accepting new patients

Locations

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

1801 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 240-2334

900 S Eliseo Dr
Ste 201
Greenbrae, CA 94904
Phone (415) 461-1780

75 Rowland Way
Ste 230
Novato, CA 94945
Phone (415) 683-2988

75 Rowland Way
Ste 275
Novato, CA 94945
Phone (415) 367-9500

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

11685 Alpharetta Hwy
Ste 120
Roswell, GA 30076
Phone 7702843150407

4015 Johns Creek Pkwy
Suwanee, GA 30024
Phone 7702843150458

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAADCA
  • Direct secure messaging: ssuh222579@direct-ucsfmedicalcenter.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1215355425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11731 POINTE PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764636",
            "telephone_number": "770-284-3150",
            "fax_number": "770-284-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11731 POINTE PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764636",
            "telephone_number": "770-284-3150",
            "fax_number": "770-284-3170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4015 Johns Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241253",
            "country_code": "US",
            "telephone_number": "770-284-3150",
            "fax_number": "770-284-3170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUH",
        "first_name": "SE YOUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "109507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.