Individual provider Active NPI

Susan C Haskell, D.O.

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1598735102
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
73851 Issued in GA
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

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
070557800MedicaidDC
345004000MedicaidMD
00318287BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, GA, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160126000788 DC Practitioner - Obstetrics/Gynecology 5597790089 Reassigns benefits to 1 organization
I20160622001950 GA Practitioner - Obstetrics/Gynecology 5597790089 Reassigns benefits to 1 organization
I20190418001522 IL Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 5597790089 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
173NEMDClinical Psychologist
01898IAMDFamily Medicine Physician
036.146713ILMDFamily Medicine Physician
H0079378MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Femhealth USA, Inc CurrentSince Dec 10, 2015 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.