Individual provider Active NPI

Susan Dixon-Sibley

  • Family Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1912426842
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN217273 Issued in GA
Practice address
3851 Postal Dr Ste 600
Duluth, GA 30096-5711
Phone
(404) 919-5708
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN217273 GA Primary

Addresses

Primary practice location

3851 Postal Dr Ste 600
Duluth, GA 30096-5711

Mailing address

3851 Postal Dr Ste 200
Duluth, GA 30096-5712
Phone (404) 919-5708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180719003879 GA Practitioner - Nurse Practitioner 6709133887 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3601 Southwest 160TH Ave
Suite 250
Miramar, FL 33027-6314

4074 Dinmont Chase
Atlanta, GA 30349-8878

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN217273GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SF Georgia Medical Services PC CurrentSince Aug 1, 2019 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Apr 14, 2025 Accepting new patients
Preferred Healthcare LLC CurrentSince Jul 21, 2025 Accepting new patients
Infinite Medical PC CurrentSince Nov 9, 2021 Accepting new patients
Vohra Wound Physicians of FL, LLC Past Accepting new patients

Locations

2903 Stirling Rd
Fort Lauderdale, FL 33312
Phone 2124198180 ext. 98180

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

3851 Postal Dr
Ste 200
Duluth, GA 30096
Phone (404) 919-5708

100 Bull St
Ste 200
Savannah, GA 31401
Phone (770) 478-3013

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

250 Skillman St
Ste 202
Brooklyn, NY 11205

Organizations & group practices 5

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1912426842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 POSTAL DR STE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965712",
            "telephone_number": "404-919-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 POSTAL DR STE 600",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965711",
            "telephone_number": "404-919-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON-SIBLEY",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN217273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.