Individual provider Active NPI

Paola Juliana Suarez, M.D.

  • Pediatrics Physician
  • Canton, GA
National Provider Identifier
1326221698
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
67096 Issued in GA
Practice address
220 Oakside LN
Canton, GA 30114-6413
Phone
(678) 807-1050
Fax
(678) 807-1055
NPI assigned
Dec 10, 2007
Last updated
Jul 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 67096 GA Primary
Pediatrics Physician 208000000X 19949 MS

Addresses

Primary practice location

220 Oakside LN
Canton, GA 30114-6413

Mailing address

260 Elm St
Cumming, GA 30040-2467
Phone (770) 887-1668

Other identifiers 3

IdentifierTypeStateIssuer
00313120097MedicaidGA
300022400AMedicaidGA
C02394OtherMSMEDICARE GROUP

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
I20130403000300 GA Practitioner - Pediatric Medicine 0042397937 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Highlands Medical Services, Inc. CurrentSince Feb 18, 2013 Accepting new patients
Georgia Highlands Medical Services Inc CurrentSince Feb 18, 2013 Accepting new patients
Georgia Highlands Medical Services, Inc. Past Accepting new patients
Georgia Highlands Medical Services Inc Past Accepting new patients

Locations

210 Oakside Ln
Canton, GA 30114
Phone (678) 807-1050

220 Oakside Ln
Canton, GA 30114
Phone (678) 807-1050

775 West Ave
Ste A
Cartersville, GA 30120
Phone (470) 315-4689

260 Elm St
Cumming, GA 30040
Phone (470) 297-1004

475 Tribble Gap Rd
Cumming, GA 30040
Phone (470) 758-8573

5959 Highway 53 E
Dawsonville, GA 30534
Phone (706) 216-2771

Interoperability endpoints

  • Direct secure messaging: paola.suarez@ghms.eclinicaldirectplus.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1326221698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 ELM ST",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402467",
            "telephone_number": "770-887-1668",
            "fax_number": "770-887-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 OAKSIDE LN",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146413",
            "telephone_number": "678-807-1050",
            "fax_number": "678-807-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "PAOLA",
        "middle_name": "JULIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "67096",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "19949",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00313120097",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300022400A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C02394",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.