Individual provider Active NPI

Susan E. Austin, NP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1427005354
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN259939 Issued in GA
Practice address
2464 Roswell Rd
Marietta, GA 30062-4954
Phone
(678) 732-1500
NPI assigned
May 27, 2006
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X RN259939 GA
Family Medicine Physician 207Q00000X RN259939 GA
Family Nurse Practitioner 363LF0000X RN259939 GA Primary

Addresses

Primary practice location

2464 Roswell Rd
Marietta, GA 30062-4954

Mailing address

2020 21St Ave S
Suite 201
Nashville, TN 37212-4354
Phone (615) 269-0652

Other practice location 1

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1258

Other identifiers 1

IdentifierTypeStateIssuer
78002763MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20110824000680 TN Practitioner - Nurse Practitioner 9931102902 Reassigns benefits to 3 organizations
I20161116002683 GA Practitioner - Nurse Practitioner 9931102902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

1267 Hwy 54 W 2200
Fayetteville, GA 30214-2110
Phone (470) 271-3415

1762 Mars Hill Rd NW
Acworth, GA 30101-8091
Phone (678) 732-1506

2444 Dallas Hwy SW
Marietta, GA 30064-2529
Phone (678) 732-1512

4398 Atlanta Hwy
Loganville, GA 30052-7314
Phone (678) 732-1519

5230 Dallas Hwy
Powder Springs, GA 30127-4263
Phone (678) 732-1523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Jun 1, 2012 Accepting new patients
Sebree Medical Center Past Accepting new patients
Emergency Physicians of Montgomery County, PLLC Emergency Medicine Past Accepting new patients
Emergency Physicians of Hopkinsville PLLC Emergency Medicine Past Accepting new patients
Piedmont Medical Care Corporation Family Medicine Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

2464 Roswell Rd
Marietta, GA 30062
Phone (678) 560-4781

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1427005354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 21ST AVE S",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124354",
            "telephone_number": "615-269-0652",
            "fax_number": "615-269-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624954",
            "telephone_number": "678-732-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Clinch Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37916",
            "country_code": "US",
            "telephone_number": "865-331-1258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "RN259939",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN259939",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN259939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78002763",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.