Individual provider Active NPI

Suzanna Savor Pollock, AGPCNP

  • Nurse Practitioner
  • Flat Rock, NC
National Provider Identifier
1396124079
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5007637 Issued in NC
Practice address
571 S Allen Rd
Flat Rock, NC 28731-9447
Phone
(828) 692-6178
Fax
(828) 692-2365
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5007637 NC
Gerontology Nurse Practitioner 363LG0600X RN074419 GA
Gerontology Nurse Practitioner 363LG0600X 5007637 NC
Primary Care Nurse Practitioner 363LP2300X 5007637 NC
Nurse Practitioner 363L00000X 5007637 NC Primary

Addresses

Primary practice location

571 S Allen Rd
Flat Rock, NC 28731-9447

Mailing address

571 S Allen Rd
Flat Rock, NC 28731-9447
Phone (828) 692-6178

Other practice location 1

374A Pat Haralson Dr
Blairsville, GA 30512-8409
Phone (706) 745-5541

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spollock@fourseasonscfl.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150908002220 NC Practitioner - Nurse Practitioner 7012223944
I20160217000248 GA Practitioner - Nurse Practitioner 7012223944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN074419GAMDGerontology Nurse Practitioner
5007637NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Elizabeth Wiles, DO, PC CurrentSince Jan 8, 2016 Accepting new patients
Mary Beth Wiles, M.D., PC PastSince Jan 2, 2008 Accepting new patients

Locations

374A Pat Haralson Dr
Blairsville, GA 30512
Phone (706) 745-5541

Interoperability endpoints

  • Direct secure messaging: suzanna.pollock.1@9035.direct.athenahealth.com
  • Direct secure messaging: suzanna.pollock.1@19762.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1396124079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374A Pat Haralson Dr",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305128409",
            "country_code": "US",
            "telephone_number": "706-745-5541",
            "fax_number": "706-745-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "SUZANNA",
        "middle_name": "SAVOR",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5007637",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN074419",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5007637",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5007637",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spollock@fourseasonscfl.org",
            "affiliation": "N",
            "endpointDescription": "spollock@fourseasonscfl.org",
            "address_1": "571 S Allen Rd",
            "city": "Flat Rock",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287319447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

Verify at the official NPI Registry.