Active NPI
Suzanne Sarah Azzazy, D.O.
- Psychiatry Physician
- Nashville, TN
National Provider Identifier
1215356597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3224
- Practice address
- 1310 24TH Ave S
Nashville, TN 37212 - Phone
- (615) 873-6967
- NPI assigned
- Apr 15, 2014
- Last updated
- Sep 6, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 3224 | TN | Primary |
Addresses
Primary practice location
1310 24TH Ave S
Nashville, TN 37212
Mailing address
1310 24TH Ave S
Nashville, TN 37212-2637
Other practice location 1
403 N State Of Franklin Rd
Johnson City, TN 37604-6034
Phone (423) 439-2221
Other practice location 2
1601 23rd Ave S
Nashville, TN 37212-3133
Phone (615) 936-2488
Other names 1
- Dr. Suzanne Sarah Azzazy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3224 | TN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1215356597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37212",
"telephone_number": "615-873-6967"
}
],
"practiceLocations": [
{
"address_1": "403 N State Of Franklin Rd",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046034",
"country_code": "US",
"telephone_number": "423-439-2221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 23rd Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372123133",
"country_code": "US",
"telephone_number": "615-936-2488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AZZAZY",
"first_name": "SUZANNE",
"middle_name": "SARAH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "3224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "AZZAZY",
"middle_name": "SARAH",
"prefix": "DR.",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.