Elizabeth J Sudduth, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

031267 Issued in GA

Practice address

2415 Parkwood Dr
Brunswick, GA 31520-4722

Phone

(912) 466-5196

Fax

(912) 466-5197

NPI assigned

Nov 17, 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: esuddut@secure.sghsmessaging.org

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.

• Cooperative Healthcare Services Inc

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  Infectious Disease

  Medicare reassignment NPD
• Au Medical Associates Inc

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
  • NPI 1114574126
  NPD (past)
• Glynn County Board of Health

  • Public Health or Welfare Agency
  • Brunswick, GA
  • NPI 1164429692
  NPD (past)
• Liberty County Board of Health

  • Public Health or Welfare Agency
  • Hinesville, GA
  • NPI 1245546704
  NPD (past)
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1417020272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1213",
            "city": "BURNSWICK",
            "state": "GA",
            "postal_code": "315211213",
            "telephone_number": "912-466-5196",
            "fax_number": "912-466-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-5196",
            "fax_number": "912-466-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDUTH",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "031267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strickland, Certain & Jones
• Darrin Avery Strickland, M.D.
• Ginger Stubbs, RN, BSN
• Lagretta Charvette Stuckey
• Coleman David Sudduth Jr., M.D.
• Michael James Sullivan, M.D.
• Janna Marie Summerall-Smith, M.D.
• Summit Dermatology & Laser Center, P.C.
• Summit Internal Medicine
• Summit Plastic Surgery

• Infectious Disease Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Infectious Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.