Suncererae Natel Smith, CFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

115523 Issued in GA

Practice address

512 Wynfield Trce
Norcross, GA 30092-4554

Phone

(770) 559-0721

Fax

(770) 559-0639

NPI assigned

Aug 2, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1249171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249171200000",
    "number": "1386875862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768138",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768138",
            "telephone_number": "770-559-0721",
            "fax_number": "770-559-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WYNFIELD TRCE",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924554",
            "telephone_number": "770-559-0721",
            "fax_number": "770-559-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUNCERERAE",
        "middle_name": "NATEL",
        "credential": "CFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-02",
        "last_updated": "2009-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "115523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Smith, PHARMD, PHD, RPH
• Leslie A Smith, OT
• Marcia Smith
• Natacha Smith
• Sierra Smith
• Soh of Georgia Ozf PC
• Karima N Sohani, FNP-C,FNP-BC, AGNP-C
• Soleo Health Inc.
• Soleo Health Inc.
• Julie L Solinski, LCSW

• Surgical Physician Assistant in Norcross, GA
• Providers in Norcross, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.