Superior Healthcare of Canton, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14936 Issued in GA

Legal business name

SUPERIOR HEALTHCARE OF CANTON, LLC

Practice address

2050 Cumming Hwy
Suite 100
Canton, GA 30115-2314

Phone

(770) 345-9600

Fax

(770) 345-9611

NPI assigned

Jun 30, 2015

Last updated

Oct 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julia McClellan Thorne, NP

Title

Owner

Phone

(770) 345-9600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1619350329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CUMMING HWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301152314",
            "telephone_number": "770-345-9600",
            "fax_number": "770-345-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CUMMING HWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301152314",
            "telephone_number": "770-345-9600",
            "fax_number": "770-345-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTHCARE OF CANTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "MCCLELLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-345-9600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "14936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent H. Suddeth, CRNA
• Nichole Warrington Sullivan, D.C.
• Christian Sumner
• Sunrise Therapy, LLC
• Superior Healthcare LLC
• Bharat Surani, D.O
• Sure Path Wellness and Psychotherapy, LLC
• Suresight and Associates L L C (Suresight Eyecare Canton)
• Erin Bardonner Sustachek, APRN
• Megan Lena Wander Suter, CPNP-PC

• General Practice Physician in Canton, GA
• Providers in Canton, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.