Susan Mary Sysol

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

OTA000266 Issued in GA

Practice address

650 Professional Dr
Lawrenceville, GA 30548

Phone

(678) 312-3000

NPI assigned

Mar 29, 2012

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1598031973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 FIRELIGHT LN",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423887",
            "telephone_number": "770-375-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PROFESSIONAL DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30548",
            "telephone_number": "678-312-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYSOL",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "GA",
            "license": "OTA000266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quiana She'Ree Sydnor, LPC
• Mohiuddin Ahmed Syed, DO
• Riaz Ali Syed, M.D.
• Sheneaka Sykes, ARNP
• Emma Sykucki, MS, RD, LD
• T L Hughes MD, LLC
• Kelly Ta
• Katayun Taasoobshirazi, MD
• Maryam Tabassian, DDS
• Janet Tackett, OT

• Community Health Worker in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.