Susan E Abbott, WHNP-BC
Individual provider Active NPI Women's Health Nurse Practitioner · Atlanta, GA
NPI 1972807972 · NPPES record last updated Jan 5, 2011
Key facts
- NPI
- 1972807972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- RN139634 NP (GA)
- Practice address
- 5780 Peachtree Dunwoody Rd NE
Suite 200
Atlanta, GA 30342-1554 - Phone
- (404) 255-8022
- Fax
- (404) 255-7248
- NPI assigned
- Jan 5, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN139634 NP | GA | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN139634 NP | GA | Yes |
Addresses
Primary practice location
5780 Peachtree Dunwoody Rd NE
Suite 200
Atlanta, GA 30342-1554
Mailing address
5780 Peachtree Dunwoody Rd NE
Suite 200
Atlanta, GA 30342-1554
Phone (404) 255-8022
Other providers in Atlanta, GA
- Cynthia A. Abbott
- Franklin Abbott
- Justin Abbott
- Roger W. Abbott
- Shawn Renee Abbott
- Tea Jeanette Abbracciamento
- Abby Care Georgia LLC
- Abc Healthcare of America, LLC.
- Abc Healthcare of America, LLC.
- Abc Hearing Professionals LLC.
All providers in Atlanta, GA · Women's Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.