Individual provider Active NPI

Susana McGuire, CNP-FAMILY

  • Family Nurse Practitioner
  • Canton, GA
National Provider Identifier
1487991675
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN225639 Issued in GA
Practice address
3785 Sixes Rd
Canton, GA 30114-7809
Phone
(770) 720-3466
Fax
(678) 721-1091
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN225639 GA Primary

Addresses

Primary practice location

3785 Sixes Rd
Canton, GA 30114-7809

Mailing address

3785 Sixes Rd
Canton, GA 30114-7809
Phone (770) 720-3466

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000236 GA Practitioner - Nurse Practitioner 7618113648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

11710 Alpharetta Hwy
Roswell, GA 30076-3807
Phone (866) 389-2727

1600 Towne Lake Pkwy
Woodstock, GA 30189-1585
Phone (866) 389-2727

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN225639GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jun 26, 2013 Accepting new patients
Primary Care PLLC Family CurrentSince Sep 10, 2024 Accepting new patients

Locations

3785 Sixes Rd
Canton, GA 30114
Phone (770) 720-3466

6120 Hickory Flat Hwy
Canton, GA 30115
Phone (770) 720-0610

965 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (678) 721-1090

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

1600 Towne Lake Pkwy
Woodstock, GA 30189
Phone (678) 656-5753

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1487991675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 SIXES RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147809",
            "telephone_number": "770-720-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 SIXES RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147809",
            "telephone_number": "770-720-3466",
            "fax_number": "678-721-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "SUSANA",
        "credential": "CNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN225639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.