Individual provider Active NPI

Susan Sturgess, MD

  • Emergency Medicine Physician
  • Mooresville, NC
National Provider Identifier
1346273745
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200000631 Issued in NC
Practice address
115 E Maranta Rd
Mooresville, NC 28117-6335
Phone
(704) 799-6406
NPI assigned
Jul 9, 2006
Last updated
Oct 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200000631 NC Primary

Addresses

Primary practice location

115 E Maranta Rd
Mooresville, NC 28117-6335

Mailing address

115 E Maranta Rd
Mooresville, NC 28117-6335
Phone (704) 799-6406

Other identifiers 2

IdentifierTypeStateIssuer
N0063AMedicaidSC
89126URMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040831000235 NC Practitioner - Emergency Medicine 5799750071 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Hospice of Iredell County, Inc CurrentSince Aug 29, 2022 Accepting new patients
Dispatchhealth, PC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Emergency Medicine Past Accepting new patients
Internal Medicine Specialist, PA Past Accepting new patients
Piedmont Emergency Medical Associates, PA Emergency Medicine Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine Past Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients

Locations

4220 Apex Hwy
Ste 160
Durham, NC 27713
Phone (919) 897-8784

218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461

2347 Simonton Rd
Statesville, NC 28625
Phone (704) 873-4719

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

Interoperability endpoints

  • Direct secure messaging: ssturgess664356@direct.medicine.duke.edu
  • Direct secure messaging: susan.sturgess.1@13869.direct.athenahealth.com

Organizations & group practices 9

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1346273745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MARANTA RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176335",
            "telephone_number": "704-799-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MARANTA RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176335",
            "telephone_number": "704-799-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGESS",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200000631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0063A",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126UR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.