Active NPI
Susan C Haskell, D.O.
- Family Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 73851
- Practice address
- 1800 Peachtree St NW Ste 800
Atlanta, GA 30309-2512 - Phone
- (855) 729-2272
- Fax
- (202) 833-1725
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0079378 | MD | |
| Family Medicine Physician | 207Q00000X | 036.146713 | IL | |
| Family Medicine Physician | 207Q00000X | 73851 | GA | Primary |
Addresses
Primary practice location
1800 Peachtree St NW Ste 800
Atlanta, GA 30309-2512
Mailing address
4021 Lincoln Place Dr
Des Moines, IA 50312-3051
Other practice location 1
5530 Wisconsin Ave Ste 1200
Chevy Chase, MD 20815-4301
Phone (301) 321-3300
Other practice location 2
4711 Golf Rd Ste 920
Skokie, IL 60076-1247
Phone (855) 729-2272
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070557800 | Medicaid | DC | |
| 345004000 | Medicaid | MD | |
| 00318287B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, GA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173 | NE | MD | Clinical Psychologist |
| 01898 | IA | MD | Family Medicine Physician |
| 036.146713 | IL | MD | Family Medicine Physician |
| H0079378 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Femhealth USA, Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1156 15th St NW
Ste 700
Washington, DC 20005
1001 Connecticut Ave NW
Ste 805
Washington, DC 20036
1800 Peachtree St NW
Ste 800
Atlanta, GA 30309
Phone (855) 729-2272
4711 Golf Rd
Ste 920
Skokie, IL 60076
Phone (847) 966-9343
5530 Wisconsin Ave
Ste 1200
Chevy Chase, MD 20815
Phone (301) 321-3300
Interoperability endpoints
- susan.haskell.1@10306.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Ambulatory Family Planning Facility
- Skokie, IL
- NPI 1417428889
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1598735102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 LINCOLN PLACE DR",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503123051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PEACHTREE ST NW STE 800",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092512",
"telephone_number": "855-729-2272",
"fax_number": "202-833-1725"
}
],
"practiceLocations": [
{
"address_1": "5530 Wisconsin Ave Ste 1200",
"address_purpose": "LOCATION",
"city": "Chevy Chase",
"state": "MD",
"postal_code": "208154301",
"country_code": "US",
"telephone_number": "301-321-3300",
"fax_number": "301-652-1045",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4711 Golf Rd Ste 920",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600761247",
"country_code": "US",
"telephone_number": "855-729-2272",
"fax_number": "224-330-1064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASKELL",
"first_name": "SUSAN",
"middle_name": "C",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H0079378",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.146713",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "73851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070557800",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "345004000",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00318287B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.