Active NPI
Susan Strawn Echols
- Case Manager/Care Coordinator
- McDonough, GA
National Provider Identifier
1609963388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 123
- Practice address
- 6255 Montlake Ave
McDonough, GA 30253-8532 - Phone
- (770) 305-7156
- Fax
- (770) 957-7296
- NPI assigned
- Oct 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 123 | GA | Primary |
Addresses
Primary practice location
6255 Montlake Ave
McDonough, GA 30253-8532
Mailing address
6255 Montlake Ave
McDonough, GA 30253
Phone (770) 305-7156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000972628A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123 | GA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Echols Services, Inc | Case Manager/Care Coordinator | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Manager/Care Coordinator
- McDonough, GA
- NPI 1336229434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609963388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 MONTLAKE AVE",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "30253",
"telephone_number": "770-305-7156",
"fax_number": "770-957-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6255 MONTLAKE AVE",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538532",
"telephone_number": "770-305-7156",
"fax_number": "770-957-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHOLS",
"first_name": "SUSAN",
"middle_name": "STRAWN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "GA",
"license": "123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000972628A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.