Individual provider Active NPI

Lovepriya Suthaharan, MMSC, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1871216721
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14307 Issued in NC
Practice address
445 Dolley Madison Rd Ste 410
Greensboro, NC 27410-5167
Phone
(336) 292-1510
Fax
(336) 292-0679
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14307 NC Primary

Addresses

Primary practice location

445 Dolley Madison Rd Ste 410
Greensboro, NC 27410-5167

Mailing address

445 Dolley Madison Rd Ste 410
Greensboro, NC 27410-5167
Phone (336) 292-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825000965 NC Practitioner - Physician Assistant 2365942372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

445 Dolley Madison Rd
Suite 410
Greensboro, NC 27410-5167
Phone (336) 292-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Sep 21, 2025 Accepting new patients
Moses Cone Affiliated Physicians, Inc Physician Assistant CurrentSince Sep 21, 2025 Accepting new patients

Locations

445 Dolley Madison Rd
Ste 410
Greensboro, NC 27410
Phone (336) 292-1510

719 Green Valley Rd
Ste 305
Greensboro, NC 27408
Phone (336) 272-3696

300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219

Organizations & group practices 3

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1871216721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 DOLLEY MADISON RD STE 410",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105167",
            "telephone_number": "336-292-1510",
            "fax_number": "336-292-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 DOLLEY MADISON RD STE 410",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105167",
            "telephone_number": "336-292-1510",
            "fax_number": "336-292-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHAHARAN",
        "first_name": "LOVEPRIYA",
        "credential": "MMSC, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.