Individual provider Active NPI

Susan Schayes, MD

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1720183254
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
043278 Issued in GA
Practice address
2124 Candler Rd
Decatur, GA 30032-5572
Phone
(404) 836-0272
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME131905 FL
Family Medicine Physician 207Q00000X MD464175 PA
Family Medicine Physician 207Q00000X 35.135432 OH
Family Medicine Physician 207Q00000X 043278 GA Primary

Addresses

Primary practice location

2124 Candler Rd
Decatur, GA 30032-5572

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other identifiers 1

IdentifierTypeStateIssuer
ME131905OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, OH, MO, SC, VA6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20170628002107 FL Practitioner - Family Practice 5698806701 Reassigns benefits to 1 organization
I20180712001185 PA Practitioner - Family Practice 5698806701 Reassigns benefits to 1 organization
I20190826002243 OH Practitioner - Family Practice 5698806701 Reassigns benefits to 1 organization
I20200608002664 MO Practitioner - Family Practice 5698806701 Reassigns benefits to 1 organization
I20220615001708 SC Practitioner - Family Practice 5698806701
I20240119001401 VA Practitioner - Family Practice 5698806701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME131905FLMDFamily Medicine Physician
043278GAMDFamily Medicine Physician
35.135432OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Columbus Ohio, LLC CurrentSince Aug 1, 2019 Accepting new patients
Dedicated Pennsylvania Holding, LLC CurrentSince Oct 1, 2019 Accepting new patients
Dedicated Pennsylvania Holding, LLC Family Medicine CurrentSince Jul 16, 2018 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Aug 1, 2019 Accepting new patients
Dedicated Pennsylvania Holding, LLC CurrentSince Jul 16, 2018 Accepting new patients
PMR Virginia Holding, LLC CurrentSince Jan 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 1, 2017 Accepting new patients
Dedicated Missouri Holding, LLC CurrentSince Jun 1, 2020 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 1, 2017 Accepting new patients
Dedicated Missouri Holding, LLC CurrentSince Jun 1, 2020 Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC PastSince Sep 4, 2012 Accepting new patients
Dedicated Ohio Holding LLC PastSince Apr 1, 2010 Accepting new patients
Jencare Neighborhood Medical Center East Point PastSince Aug 5, 2013 Accepting new patients
Dedicated Pennsylvania Holding, LLC Past Accepting new patients
Dedicated Ohio Holding, LLC PastSince Feb 23, 2020 Accepting new patients
Jencare Neighborhood Medical Center Evergreen Park, LLC Past Accepting new patients

Locations

206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272

175 N Oaks Plz
Saint Louis, MO 63121
Phone (314) 391-9777

3649 Page Blvd
Saint Louis, MO 63113
Phone (314) 288-0071

5156 E Main St
Columbus, OH 43213
Phone (614) 702-7655

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

5675 N Front St
Ste 141
Philadelphia, PA 19120
Phone (267) 338-3411

49 W Mercury Blvd
Hampton, VA 23669
Phone (757) 269-9980

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1720183254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325572",
            "telephone_number": "404-836-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAYES",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME131905",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD464175",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.135432",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME131905",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.