Active NPI
Susan G Traxler, MD
- Pediatrics Physician
- Suwanee, GA
National Provider Identifier
1700922747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 052376
- Practice address
- 5400 Laurel Springs Pkwy
Suite 1402
Suwanee, GA 30024-6056 - Phone
- (678) 965-0586
- Fax
- (877) 500-8092
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 052376 | GA | Primary |
Addresses
Primary practice location
5400 Laurel Springs Pkwy
Suite 1402
Suwanee, GA 30024-6056
Mailing address
5400 Laurel Springs Pkwy
Suite 1402
Suwanee, GA 30024-6056
Phone (678) 965-0586
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052376 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1700922747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 LAUREL SPRINGS PKWY",
"address_2": "SUITE 1402",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246056",
"telephone_number": "678-965-0586",
"fax_number": "877-500-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 LAUREL SPRINGS PKWY",
"address_2": "SUITE 1402",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246056",
"telephone_number": "678-965-0586",
"fax_number": "877-500-8092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAXLER",
"first_name": "SUSAN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "052376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.