NPIMap

Organization Active NPI

Super Supportive Teaching for Achieving Remarkable Success Inc

Doing business as Super Stars

  • Clinic/Center
  • Cumming, GA
National Provider Identifier
1609669738
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUPER SUPPORTIVE TEACHING FOR ACHIEVING REMARKABLE SUCCESS INC
Doing business as
Super Stars
Practice address
5230 Jot Em Down Rd
Cumming, GA 30041-3406
Phone
(678) 249-9206
NPI assigned
May 22, 2025
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Sravani Gunda
Title
Owner
Phone
(678) 249-9206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5230 Jot Em Down Rd
Cumming, GA 30041-3406

Mailing address

4515 Wildbrooke Pkwy
Cumming, GA 30041-4824
Phone (678) 249-9206

Other names 1

  • SUPER STARS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1609669738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 WILDBROOKE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414824",
            "telephone_number": "678-249-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 JOT EM DOWN RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300413406",
            "telephone_number": "678-249-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER SUPPORTIVE TEACHING FOR ACHIEVING REMARKABLE SUCCESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "GUNDA",
        "authorized_official_first_name": "SRAVANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-249-9206"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER STARS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.