Super Stars Child Research and Development Center, Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

SUPER STARS CHILD RESEARCH AND DEVELOPMENT CENTER, INC

Doing business as

Super S.T.a.R.S
Super S.T.a.R.S Child Research and Development Center
Super Supportive Teaching for Achieveing Remarkable Success

Practice address

5230 Jot Em Down Rd
Cumming, GA 30041-3406

Phone

(678) 249-9206

NPI assigned

Nov 14, 2024

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sravani Gunda

Title

Chief Executive Officer

Phone

(678) 249-9206

Specialties & licenses 3

Addresses

Other names 3

• SUPER S.T.A.R.S Doing business as
• SUPER S.T.A.R.S CHILD RESEARCH AND DEVELOPMENT CENTER Doing business as
• SUPER SUPPORTIVE TEACHING FOR ACHIEVEING REMARKABLE SUCCESS Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Foster, MS, CCC/SLP, CNHP

  • Speech-Language Pathologist
  • Decatur, GA
  • NPI 1720143514
  Medicare reassignment NPD
• Dustin Alan Hancock-Ramirez Donaldson, BCBA

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1891364667
  Medicare reassignment NPD

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1275357287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 WILDBROOKE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414824",
            "telephone_number": "678-249-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 JOT EM DOWN RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300413406",
            "telephone_number": "678-249-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER STARS CHILD RESEARCH AND DEVELOPMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "GUNDA",
        "authorized_official_first_name": "SRAVANI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-249-9206",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER S.T.A.R.S",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUPER S.T.A.R.S CHILD RESEARCH AND DEVELOPMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUPER SUPPORTIVE TEACHING FOR ACHIEVEING REMARKABLE SUCCESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hema Sundar, DMD
• Tharani Sundararajan, MD
• Nandini Sunkireddy, MD
• Sunshine Pediatrics of Georgia,LLC
• Sunshine Physical Therapy LLC
• Super Supportive Teaching for Achieving Remarkable Success Inc (Super Stars)
• Hannah Supik
• Mary Kathryn Suplita, MS, SLP
• Surgeon's Choice Surgical Assisting LLC
• Piyush Sutaria, PHARMACIST

• Developmental Disabilities Clinic/Center in Cumming, GA
• Providers in Cumming, GA by specialty
• Developmental Disabilities Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.