Active NPI
Derek John Suranie, MED.,ATC
- Athletic Trainer
- Dahlonega, GA
National Provider Identifier
1992769467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT000606
- Practice address
- 130 Georgia Circle
Dahlonega, GA 30597-0001 - Phone
- (706) 867-2770
- Fax
- (706) 867-2865
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT000606 | GA | Primary |
Addresses
Primary practice location
130 Georgia Circle
Dahlonega, GA 30597-0001
Mailing address
1775 Admirals Pointe
Cumming, GA 30041-8667
Phone (678) 947-1282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT000606 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992769467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 ADMIRALS POINTE",
"city": "CUMMING",
"state": "GA",
"postal_code": "300418667",
"telephone_number": "678-947-1282",
"fax_number": "706-867-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GEORGIA CIRCLE",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305970001",
"telephone_number": "706-867-2770",
"fax_number": "706-867-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURANIE",
"first_name": "DEREK",
"middle_name": "JOHN",
"credential": "MED.,ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT000606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.