Individual provider Active NPI

Suzanne Joy Atteberry, D.O.

  • Emergency Medicine Physician
  • Augusta, GA
National Provider Identifier
1487870168
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
RTP 001851 Issued in GA
Practice address
1120 15TH St RM Af-2056
Augusta, GA 30912-0004
Phone
(706) 721-2613
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X RTP 001851 GA Primary

Addresses

Primary practice location

1120 15TH St RM Af-2056
Augusta, GA 30912-0004

Mailing address

202 Lewis Rd
Beech Island, SC 29842-8334
Phone (803) 867-2436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, VI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101105001029 FL Practitioner - Emergency Medicine 3476601386 Reassigns benefits to 1 organization
I20200521001544 TX Practitioner - Emergency Medicine 3476601386 Reassigns benefits to 1 organization
I20200528000176 VI Practitioner - Emergency Medicine 3476601386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RTP 001851GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 1, 2020 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 1, 2020 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince May 14, 2020 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince May 14, 2020 Accepting new patients
Cobblestone Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: satteberry742098@direct.shands.ufl.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487870168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LEWIS RD",
            "city": "BEECH ISLAND",
            "state": "SC",
            "postal_code": "298428334",
            "telephone_number": "803-867-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST RM AF-2056",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTEBERRY",
        "first_name": "SUZANNE",
        "middle_name": "JOY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "RTP 001851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.