Active NPI
Rebecca Guess Susong, MD, MPH
- Pediatrics Physician
- Signal Mountain, TN
National Provider Identifier
1750694956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60592
- Practice address
- 1807 Taft Hwy Ste 6
Signal Mountain, TN 37377-3527 - Phone
- (423) 451-6683
- Fax
- (423) 214-1027
- NPI assigned
- Jul 16, 2010
- 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 | MD60592 | TN | Primary |
Addresses
Primary practice location
1807 Taft Hwy Ste 6
Signal Mountain, TN 37377-3527
Mailing address
1807 Taft Hwy Ste 6
Signal Mountain, TN 37377-3527
Phone (423) 451-6683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60592 | TN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1750694956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 TAFT HWY STE 6",
"city": "SIGNAL MOUNTAIN",
"state": "TN",
"postal_code": "373773527",
"telephone_number": "423-451-6683",
"fax_number": "423-214-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 TAFT HWY STE 6",
"city": "SIGNAL MOUNTAIN",
"state": "TN",
"postal_code": "373773527",
"telephone_number": "423-451-6683",
"fax_number": "423-214-1027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSONG",
"first_name": "REBECCA",
"middle_name": "GUESS",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD60592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Signal Mountain, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.