Suwanee Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUWANEE MEDICAL CENTER

Practice address

960 Peachtree Industrial Blvd
Suwanee, GA 30024-1995

Phone

(770) 831-8191

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Y Shih, D.O.NPI 1982712915

Title

President

Phone

(770) 831-8191

Specialties & licenses 1

Addresses

Other names 1

• Suwanee Family Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Yozen Shih, D.O.

  • Family Medicine Physician
  • Suwanee, GA
  • NPI 1982712915
  Medicare reassignment NPD Authorized official
• Julie Jacobson

  • Physician Assistant
  • New Orleans, LA
  • NPI 1477942290
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1306026307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 PEACHTREE INDUSTRIAL BLVD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241995",
            "telephone_number": "770-831-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 PEACHTREE INDUSTRIAL BLVD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241995",
            "telephone_number": "770-831-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUWANEE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "SHIH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-831-8191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suwanee Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suwanee Family Dentistry, LLC
• Suwanee Foot and Ankle Specialists LLC
• Suwanee Happy Chiropractic
• Suwanee Holistic Care
• Suwanee Internal Medicine
• Suwanee Pain Management Center Inc
• Suwanee Station Dentistry, LLC
• Parri La'Nae Swinson
• Diane Dolore Sykes, PSY.D.
• Danielle Sylvester, MS, OTR/L

• Family Medicine Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.