Organization Active NPI

Keith Sue-Ling, MD., PC

  • Cardiovascular Disease Physician
  • Augusta, GA
National Provider Identifier
1427438589
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21825 Issued in GA
Legal business name
KEITH SUE-LING, MD., PC
Practice address
1349 Druid Park Ave
Augusta, GA 30904-5723
Phone
(706) 733-7537
Fax
(706) 733-2774
NPI assigned
Jun 4, 2015
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Dr. Keith Sue-Ling, MDNPI 1730108846
Title
Owner
Phone
(706) 733-7537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 21825 GA Primary

Addresses

Primary practice location

1349 Druid Park Ave
Augusta, GA 30904-5723

Mailing address

1349 Druid Park Ave
Augusta, GA 30904-5723
Phone (706) 733-7537

Other identifiers 1

IdentifierTypeStateIssuer
000203794BMedicaidGA

National Provider Directory

National Provider Directory

Locations

1349 Druid Park Ave
Augusta, GA 30904
Phone (706) 733-7537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1427438589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 DRUID PARK AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045723",
            "telephone_number": "706-733-7537",
            "fax_number": "706-733-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 DRUID PARK AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045723",
            "telephone_number": "706-733-7537",
            "fax_number": "706-733-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH SUE-LING, MD., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "SUE-LING",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-733-7537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "21825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000203794B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.