Individual provider Active NPI

DO Cruz, ANP, WHNP

  • Adult Health Nurse Practitioner
  • Suwanee, GA
National Provider Identifier
1710387204
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN226144 Issued in GA
Practice address
4015 Johns Creek Pkwy
Suwanee, GA 30024-1253
Phone
(770) 284-3150
NPI assigned
Sep 3, 2014
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN226144 GA Primary
Women's Health Nurse Practitioner 363LW0102X RN226144 GA

Addresses

Primary practice location

4015 Johns Creek Pkwy
Suwanee, GA 30024-1253

Mailing address

4015 Johns Creek Pkwy
Suwanee, GA 30024-1253
Phone (770) 284-3150

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
I20190806004335 GA Practitioner - Nurse Practitioner 2769719277 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Snuppy, Inc. CurrentSince Jun 3, 2019 Accepting new patients
Arthritis & Rheumatology Center PC CurrentSince Nov 8, 2025 Accepting new patients
Arthritis & Rheumatology Center PC CurrentSince Nov 8, 2025 Accepting new patients

Locations

3525 Gwinnett Place Dr
Duluth, GA 30096
Phone (770) 864-5510

11685 Alpharetta Hwy
Ste 120
Roswell, GA 30076
Phone 7702843150407

4015 Johns Creek Pkwy
Suwanee, GA 30024
Phone 7702843150458

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAADCA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1710387204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 JOHNS CREEK PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241253",
            "telephone_number": "770-284-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 JOHNS CREEK PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241253",
            "telephone_number": "770-284-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "DO",
        "credential": "ANP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN226144",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN226144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.