Active NPI
Susan Harrell, MD
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1831154103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 033100
- Practice address
- 1100 Lake Hearn Dr NE
Suite 100
Atlanta, GA 30342-1523 - Phone
- (404) 256-3178
- Fax
- (404) 256-3583
- NPI assigned
- Apr 19, 2006
- 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 | 033100 | GA | Primary |
Addresses
Primary practice location
1100 Lake Hearn Dr NE
Suite 100
Atlanta, GA 30342-1523
Mailing address
1100 Lake Hearn Dr NE
Suite 100
Atlanta, GA 30342-1523
Phone (404) 256-3178
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4289398 | Other | AETNA CAPITATED | |
| 40468 | Other | GREAT WEST | |
| 55091 | Other | AETNA | |
| 257740 | Other | BLUE CROSS BLUE SHIELD | |
| 691302 | Other | CIGNA HEALTHCARE |
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 |
|---|---|---|---|
| 033100 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831154103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LAKE HEARN DR NE",
"address_2": "SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421523",
"telephone_number": "404-256-3178",
"fax_number": "404-256-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAKE HEARN DR NE",
"address_2": "SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421523",
"telephone_number": "404-256-3178",
"fax_number": "404-256-3583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "033100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CAPITATED",
"identifier": "4289398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "40468",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "55091",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "257740",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "691302",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.