Jonathan Alex Sule Sr., M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

060329 Issued in GA

Practice address

3790 Old U.S. Hwy 41 North
Suite B
Valdosta, GA 31602-1398

Phone

(229) 241-8811

Fax

(229) 375-0392

NPI assigned

Jan 6, 2008

Last updated

Feb 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jonathan Alex Sule Sr. Professional name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• JS Medical Diagnostics, LLC

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1538465786
  Authorized official Same address or phone
• Grant NH LLC

  • Internal Medicine Physician
  • Valdosta, GA
  • NPI 1245484427
  NPD (past)

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1932384260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 OLD U.S. HWY 41 NORTH",
            "address_2": "SUITE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021398",
            "telephone_number": "229-241-8811",
            "fax_number": "229-375-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 OLD U.S. HWY 41 NORTH",
            "address_2": "SUITE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021398",
            "telephone_number": "229-241-8811",
            "fax_number": "229-375-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULE",
        "first_name": "JONATHAN",
        "middle_name": "ALEX",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-06",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "060329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "SULE",
            "middle_name": "ALEX",
            "suffix": "SR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amy Struble, CCC-SLP
• Lori Allison Stubbs, LCSW
• Sabria Stubbs
• Janice Faye Studstill, RN
• Jennifer M Stump, MED. CCC-SLP
• Judit Turoczi Sule, M.D.
• Todd Sumler, FNP
• James Scott Summers, D.M.D
• Tamika Summers
• Ginger Sunbom

• Neurology Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.