Individual provider Active NPI

Suzanne Jeanette Palmer, MD

  • Obstetrics & Gynecology Physician
  • Milledgeville, GA
National Provider Identifier
1457346660
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25007 Issued in GA
Practice address
750 N Cobb St
Suite 240
Milledgeville, GA 31061-2390
Phone
(478) 453-8511
Fax
(478) 452-5458
NPI assigned
Sep 14, 2005
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25007 GA Primary

Addresses

Primary practice location

750 N Cobb St
Suite 240
Milledgeville, GA 31061-2390

Mailing address

750 N Cobb St
Suite 250
Milledgeville, GA 31061-2390
Phone (478) 453-8511

Other identifiers 1

IdentifierTypeStateIssuer
000270355AMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110603000076 GA Practitioner - Obstetrics/Gynecology 9537266713 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25007GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caroline a Reich MD PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anne.palmer@oconeeregional.gadirect.net
  • Direct secure messaging: spalmer@mobg.directbygreenway.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, 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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1457346660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COBB ST",
            "address_2": "SUITE 250",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612390",
            "telephone_number": "478-453-8511",
            "fax_number": "478-452-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N COBB ST",
            "address_2": "SUITE 240",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612390",
            "telephone_number": "478-453-8511",
            "fax_number": "478-452-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SUZANNE",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "25007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000270355A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.