Individual provider Active NPI

Susan Leigh Algood, CPNP

  • Pediatric Nurse Practitioner
  • Madison, TN
National Provider Identifier
1851404396
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
15080 Issued in TN
Practice address
200 Gleaves Street
Suite a
Madison, TN 37115
Phone
(615) 851-7810
Fax
(615) 851-7866
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 15080 TN Primary

Addresses

Primary practice location

200 Gleaves Street
Suite a
Madison, TN 37115

Mailing address

200 Gleaves Street
Suite a
Madison, TN 37115
Phone (615) 851-7865

Other identifiers 1

IdentifierTypeStateIssuer
1522189MedicaidTN

Other names 1

  • Mrs. Susan A. Smith Former name

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)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15080TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Clinic East Current Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

3901 Central Pike
Ste 251
Hermitage, TN 37076
Phone (615) 232-8033

920 S Hartmann Dr
Ste 200
Lebanon, TN 37090
Phone (615) 466-9770

Interoperability endpoints

  • Direct secure messaging: susan.algood.1@20785.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1851404396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GLEAVES STREET",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "37115",
            "telephone_number": "615-851-7865",
            "fax_number": "888-599-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GLEAVES STREET",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "37115",
            "telephone_number": "615-851-7810",
            "fax_number": "615-851-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGOOD",
        "first_name": "SUSAN",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "15080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522189",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SMITH",
            "middle_name": "A.",
            "prefix": "MRS.",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.