Elizabeth P Sumo, EA

Primary specialty

TechnicianTaxonomy code 374700000X

License

3014901 Issued in GA

Practice address

1561 Virginia Ave Ste 208a
College Park, GA 30337-2897

Phone

(770) 702-0746

Fax

(866) 920-4718

NPI assigned

Jan 20, 2023

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1770298093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 VIRGINIA AVE STE 208A",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303372897",
            "telephone_number": "770-702-0746",
            "fax_number": "866-920-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 VIRGINIA AVE STE 208A",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303372897",
            "telephone_number": "770-702-0746",
            "fax_number": "866-920-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMO",
        "first_name": "ELIZABETH",
        "middle_name": "P",
        "credential": "EA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "GA",
            "license": "3014901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPN",
            "identifier": "17659543",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ncrtax.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1561 Virginia Ave Ste 208A",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303372897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Technician in College Park, GA
• Providers in College Park, GA by specialty
• Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.