Individual provider Active NPI

Susan Garman Suer, BS IN PA

  • Physician Assistant
  • Fort Gordon, GA
National Provider Identifier
1649348178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1022970 Issued in GA
Practice address
Eisenhower Army Medical Center
East Hospital Road
Fort Gordon, GA 30905
Phone
(706) 787-2936
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1022970 GA Primary

Addresses

Primary practice location

Eisenhower Army Medical Center
East Hospital Road
Fort Gordon, GA 30905

Mailing address

455 Cambridge Way
Martinez, GA 30907-8943
Phone (706) 855-8873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225000700 GA Order and Referring Only - Physician Assistant 9830385913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
1022970GAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649348178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CAMBRIDGE WAY",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078943",
            "telephone_number": "706-855-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EISENHOWER ARMY MEDICAL CENTER",
            "address_2": "EAST HOSPITAL ROAD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUER",
        "first_name": "SUSAN",
        "middle_name": "GARMAN",
        "name_prefix": "Mrs.",
        "credential": "BS IN PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "1022970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gordon, GA

Sources for this page

Verify at the official NPI Registry.