Active NPI
Susan Leigh Algood, CPNP
- Pediatric Nurse Practitioner
- Madison, TN
National Provider Identifier
1851404396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 15080
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1522189 | Medicaid | TN |
Other names 1
- Mrs. Susan A. Smith
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15080 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Pediatrics Physician
- Hermitage, TN
- NPI 1942220389
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1699722470
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.