Susan R Spitzler, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

045342 Issued in GA

Practice address

1725 Windward Concourse Ste 120
Alpharetta, GA 30005-3971

Phone

(470) 731-8010

Fax

(470) 731-8005

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan Rudnicki Former name

Electronic endpoints 1

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

Specialty

Dermatology

Education

Emory University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Dermatology of AtlantaGroup PAC ID 0941616189, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.41 of 100Reported as group

Quality

74.82

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://specdermatl.mmi.prod.fhir.ema-api.com/fhir/r4
• Direct secure messaging: sspitzler@specdermatl.emadirect.md

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.

• Spectrum Dermatology of Atlanta

  • Dermatology Physician
  • Alpharetta, GA
  • NPI 1821683616
  Medicare reassignment Care Compare group NPD
• Dermatology Associates of Georgia, LLC

  • Specialist
  • Decatur, GA
  • NPI 1063560803
  Medicare reassignment NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1376652172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 WINDWARD CONCOURSE STE 120",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053971",
            "telephone_number": "470-731-8010",
            "fax_number": "470-731-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 WINDWARD CONCOURSE STE 120",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053971",
            "telephone_number": "470-731-8010",
            "fax_number": "470-731-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZLER",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "045342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00908575A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sspitzler@specdermatl.emadirect.md",
            "affiliation": "N",
            "address_1": "1725 Windward Concourse Ste 120",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300053971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RUDNICKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamaal L Spencer, PTA
• Danielle Lauren Spera
• Spherios of Roswell LLC
• Bridget Anne Spicer, LPC
• Spine Centers of Georgia, LLC
• Sports Chiropractic Center Inc
• Spotlight Dental Alpharetta
• Leigh Anne Spraetz, LPC
• Kelley Dyanne Sproles, LMFT
• Sr Seabreeze, Inc.

• Dermatology Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.