Active NPI
Susan Joy Wright, FAMILY NURSE PRACTIT
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1396729752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN068035
- Practice address
- 865 N Highland Ave NE
Atlanta, GA 30306-4565 - Phone
- (404) 733-6089
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN068035 | GA | Primary |
Addresses
Primary practice location
865 N Highland Ave NE
Atlanta, GA 30306-4565
Mailing address
1204 Ashborough Ter SE
Unit E
Marietta, GA 30067-6935
Phone (678) 290-3312
Other names 1
- Susan Mauren
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN068035 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231891200000",
"number": "1396729752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 ASHBOROUGH TER SE",
"address_2": "UNIT E",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300676935",
"telephone_number": "678-290-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 N HIGHLAND AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303064565",
"telephone_number": "404-733-6089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "SUSAN",
"middle_name": "JOY",
"name_prefix": "Miss",
"credential": "FAMILY NURSE PRACTIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2009-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN068035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "MAUREN",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 14, 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.