Individual provider Active NPI

Subhi Ibrahim Sulieman, M.D.

  • Nephrology Physician
  • Warner Robins, GA
National Provider Identifier
1992896773
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
32309 Issued in GA
Practice address
2520 Watson Blvd
Warner Robins, GA 31093-2952
Phone
(478) 293-4383
Fax
(478) 293-4273
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 32309 GA Primary

Addresses

Primary practice location

2520 Watson Blvd
Warner Robins, GA 31093-2952

Mailing address

2520 Watson Blvd
Warner Robins, GA 31093-2952
Phone (478) 293-4383

Other identifiers 1

IdentifierTypeStateIssuer
85001466GMedicaidGA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2309GAMDOptician
32309GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robins Total Care LLC CurrentSince Jul 1, 2025 Accepting new patients
North Houston Medical Clinic PastSince Oct 1, 1999 Accepting new patients

Locations

2520 Watson Blvd
Warner Robins, GA 31093
Phone (478) 236-2338

Organizations & group practices 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1992896773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932952",
            "telephone_number": "478-293-4383",
            "fax_number": "478-293-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932952",
            "telephone_number": "478-293-4383",
            "fax_number": "478-293-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIEMAN",
        "first_name": "SUBHI",
        "middle_name": "IBRAHIM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "32309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001466G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.