Suffearria Makia Daniels-Ellison, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

144562 Issued in GA

Practice address

131A Victory Dr
Swainsboro, GA 30401-3234

Phone

(478) 237-8342

Fax

(478) 237-8281

NPI assigned

Sep 24, 2021

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1497426845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 N LAKE DR",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310827514",
            "telephone_number": "478-290-2319",
            "fax_number": "478-552-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131A VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013234",
            "telephone_number": "478-237-8342",
            "fax_number": "478-237-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS-ELLISON",
        "first_name": "SUFFEARRIA",
        "middle_name": "MAKIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "144562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Costley, RN
• Debra L Crawley-Mataosky, MD
• David W Crooke, LPC
• Crossroads Wellness PC (Central Georgia Clinic of Chiropractic)
• Lydia Lee Daley, PMHNP, BC
• Debbie Jean Davis, RN
• Bobby Lee Derrick, MD
• Vinh Dong, MD
• Paul Andrew Dorsett, MMS, PA-C
• Dr. WM. Allen Herren,LLC

• Adult Health Nurse Practitioner in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.