Susan Leslie Vergot, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0000000854 Issued in TN

Practice address

6740 Lee Hwy
Chattanooga, TN 37421-2423

Phone

(423) 825-4881

Fax

(706) 937-2442

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Family Medical Therapies PLLC

  • Family Medicine Physician
  • Ft Oglethorpe, GA
  • NPI 1225585037
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1669413415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 DUNWOODY DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211877",
            "telephone_number": "423-825-4881",
            "fax_number": "706-937-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212423",
            "telephone_number": "423-825-4881",
            "fax_number": "706-937-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Millennium Cir",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307362775",
            "country_code": "US",
            "telephone_number": "423-825-4881",
            "fax_number": "706-937-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERGOT",
        "first_name": "SUSAN",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "000854",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0000000854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew V Velopolcak, PT
• Ramanan Venkat, MD
• Songkhla N Venza, DMD
• Jill Ann Verble, CRNA
• Adrian Marie Verdin-Venable
• Peyton Vetetoe
• Joseph Michael Vial, CRNA
• Leslie E Vial, CRNA
• Brittney Viar, PA
• Vibrant Life Health & Wellness

• Family Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.