NPIMap

Individual provider Active NPI

Rose Gunter Suaava, DO

  • Family Medicine Physician
  • Moyock, NC
National Provider Identifier
1861713398
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020-03128 Issued in NC
Practice address
446 Caratoke Hwy
Moyock, NC 27958-8672
Phone
(252) 435-1275
Fax
(855) 348-4480
NPI assigned
Jun 18, 2010
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102203893 VA
Family Medicine Physician 207Q00000X 7464 KS
Family Medicine Physician 207Q00000X 2020-03128 NC Primary

Addresses

Primary practice location

446 Caratoke Hwy
Moyock, NC 27958-8672

Mailing address

446 Caratoke Hwy
Moyock, NC 27958-8672
Phone (252) 435-1275

Other practice location 1

348 Overlook Dr
Lebanon, VA 24266-3436
Phone (276) 883-5939

Other names 1

  • Rose A Dulaney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821002916 NC Practitioner - Family Practice 2365698859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 384-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7464KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc CurrentSince Sep 14, 2020 Accepting new patients
Albemarle Physician Services - Sentara, Inc Family Medicine CurrentSince Sep 14, 2020 Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

100 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-5183

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

446 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-1275

Interoperability endpoints

  • Direct secure messaging: rsuaava647700@direct.sentara.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1861713398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 CARATOKE HWY",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588672",
            "telephone_number": "252-435-1275",
            "fax_number": "855-348-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 CARATOKE HWY",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588672",
            "telephone_number": "252-435-1275",
            "fax_number": "855-348-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 Overlook Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242663436",
            "country_code": "US",
            "telephone_number": "276-883-5939",
            "fax_number": "276-415-9162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAAVA",
        "first_name": "ROSE",
        "middle_name": "GUNTER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203893",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "7464",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-03128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "DULANEY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moyock, NC

Sources for this page

Verify at the official NPI Registry.