Active NPI
Suzan Yvette Neal, APRN, BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Atlanta, GA
National Provider Identifier
1386622009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN115041
- Practice address
- 130 26TH St NW
Unit 107
Atlanta, GA 30309-2076 - Phone
- (404) 786-6656
- Fax
- (404) 733-6098
- NPI assigned
- Jan 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN115041 | GA | Primary |
Addresses
Primary practice location
130 26TH St NW
Unit 107
Atlanta, GA 30309-2076
Mailing address
130 26TH St NW
Unit 107
Atlanta, GA 30309-2076
Phone (404) 786-6656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284956346C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avenia Behavioral Management, Inc | Past | Accepting new patients | |
| Amitha Dhingra LLC | Past | Accepting new patients | |
| Georgia Rehabilitation Outreach | Past | Accepting new patients | |
| Michael S Conley M.D., P.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Decatur, GA
- NPI 1730705112
-
- Psychiatry Physician
- Marietta, GA
- NPI 1457395733
-
- Clinical Social Worker
- East Point, GA
- NPI 1699868117
-
- Psychiatry Physician
- Decatur, GA
- NPI 1457535155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1386622009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 26TH ST NW",
"address_2": "UNIT 107",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092076",
"telephone_number": "404-786-6656",
"fax_number": "404-733-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 26TH ST NW",
"address_2": "UNIT 107",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092076",
"telephone_number": "404-786-6656",
"fax_number": "404-733-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "SUZAN",
"middle_name": "YVETTE",
"name_prefix": "Ms.",
"credential": "APRN, BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "GA",
"license": "RN115041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284956346C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.