Antwanette Deshaun Suggs

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

2296 Henderson Mill Rd NE Ste 116
Atlanta, GA 30345-2739

Phone

(269) 519-3331

NPI assigned

Mar 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1245735216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 E PONCE DE LEON AVE APT E6",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300212129",
            "telephone_number": "269-519-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 HENDERSON MILL RD NE STE 116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452739",
            "telephone_number": "269-519-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 E Ponce De Leon Ave Apt E6",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "GA",
            "postal_code": "300212129",
            "country_code": "US",
            "telephone_number": "269-519-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGGS",
        "first_name": "ANTWANETTE",
        "middle_name": "DESHAUN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward F Sugarman, DDS
• Jeffrey Mark Sugarman, M.D.
• David Edward Sugerman, MD
• Allison M Sugg, PA-C
• Sugga'S Industries International, Inc
• Christine Sugimoto, MD
• Jung Whun Suh, MD, MPH
• David William Suholet, M.D.
• Suite Life NP Concierge Services of Atlanta LLC
• Brittany Green Suitt

• Developmentally Disabled Services Day Training Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.