Active NPI
Hy C Sussman MD
- Nephrology Physician
- Augusta, GA
National Provider Identifier
1518055110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 009271
- Legal business name
- HY C SUSSMAN MD
- Practice address
- 1350 Walton Way
Augusta, GA 30901-2629 - Phone
- (706) 737-6557
- Fax
- (706) 733-2229
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hy Charles Sussman, MD
- Title
- Owner
- Phone
- (706) 737-6557
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 009271 | GA | Primary |
| Nephrology Physician | 207RN0300X | 6890 | SC |
Addresses
Primary practice location
1350 Walton Way
Augusta, GA 30901-2629
Mailing address
PO Box 3448
Augusta, GA 30914-3448
Phone (706) 737-6557
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000020039L | Medicaid | GA | |
| GPA743 | Other | SC | MEDICAID |
National Provider Directory
National Provider Directory- Tax ID family
- Hy C Sussman MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nephrology Physician
- Bluffton, SC
- NPI 1376812651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265155200000",
"number": "1518055110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3448",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309143448",
"telephone_number": "706-737-6557",
"fax_number": "706-733-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 WALTON WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012629",
"telephone_number": "706-737-6557",
"fax_number": "706-733-2229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY C SUSSMAN MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2010-02-03",
"status": "A",
"authorized_official_last_name": "SUSSMAN",
"authorized_official_first_name": "HY",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-737-6557",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "009271",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "6890",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000020039L",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "GPA743",
"state": "SC"
}
],
"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 Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.