Individual provider Active NPI

Veronica L Sudekum, MD

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Warner Robins, GA
National Provider Identifier
1295117653
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
8841 Issued in GA
Practice address
114 Sutherlin Dr # C-1
Warner Robins, GA 31088-2259
Phone
(478) 287-6144
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X 8841 GA Primary
Internal Medicine Physician 207R00000X 263324 MA

Addresses

Primary practice location

114 Sutherlin Dr # C-1
Warner Robins, GA 31088-2259

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other identifiers 3

IdentifierTypeStateIssuer
003222080KMedicaidGA
003222080JMedicaidGA
003222080OMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200729000721 GA Practitioner - Physical Medicine and RehabilitationPractitioner - Hospice/Palliative Care 7618260738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Hospice/Palliative Care
Education
University of Virginia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

800 1St St
Suite 410
Macon, GA 31201-8306
Phone (478) 743-7068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008841GAMDCounseling Psychologist
263324MAMDInternal Medicine Physician
8841GAMDHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Cancer Care CurrentSince May 1, 2023 Accepting new patients
American Oncology Partners PA CurrentSince Jun 1, 2024 Accepting new patients

Locations

1111 Glynco Pkwy
Ste 35
Brunswick, GA 31525
Phone (912) 304-7013

5430 Bowman Rd
Macon, GA 31210
Phone (478) 314-1667

800 1st St
Ste 410
Macon, GA 31201
Phone (478) 743-7068

114 Sutherlin Dr
Ste C1
Warner Robins, GA 31088
Phone (478) 287-6144

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1295117653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SUTHERLIN DR # C-1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882259",
            "telephone_number": "478-287-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDEKUM",
        "first_name": "VERONICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "8841",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "263324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003222080K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003222080J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003222080O",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.