MRS. SUZANNE RACHEL NELSON (NPI# 1639464902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639464902 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE RACHEL NELSON |
| Credential | PA-C |
| Practice Address |
750 Town Park Lane Kaiser Permanente Town Park Medical Center Kennesaw GA 30144 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 4043521053 |
| Practice Fax Number | 4043500840 |
| Mailing Telephone | 4043647070 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2014-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6156 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043655061 | Suzanne A Nelson | Dietitian, Registered | 2227 Piedmont Ave, Simpson Center Rm 170d, Berkeley, CA 94720-2325 | 2013-05-03 |
| 1912259334 | Suzanne J Nelson | Registered Nurse | 519 North Second Street, Pe Ell, WA 98572 | 2012-10-09 |
| 1043439078 | Suzanne L. Nelson | Physician Assistant | 303 E Baseline Rd Ste 306, Phoenix, AZ 85042-6574 | 2007-04-25 |
| 1588650139 | Suzanne P Nelson | Pediatrics | 2551 Compass Rd, Suite 110, Glenview, IL 60026-8045 | 2005-09-20 |
| 1861945909 | Suzanne Ruth Nelson | Physical Therapy Assistant | 1334 Terry Ave, Seattle, WA 98101-2747 | 2016-07-25 |
| 1033504345 | Suzanne Nelson | Social Worker | 10065 E Harvard Ave, Ste 600, Denver, CO 80231-5968 | 2015-04-02 |
| 1295012169 | Suzanne Nelson | Counselor | 491 Main St, Athol, MA 01331-1846 | 2011-11-07 |
| 1730471673 | Suzanne Lynn Nelson | Pharmacist | 1015 Bridge Rd, Charleston, WV 25314-1305 | 2011-05-11 |
| 1194948422 | Suzanne Elizabeth Nelson | Registered Nurse | 2296 Country Dr, Fremont, CA 94536-5315 | 2007-04-11 |
| 1508885989 | Suzanne Marie Nelson | Pediatrics | 59 Bangor St, Houlton, ME 04730-1740 | 2006-07-18 |
| Street Address |
750 TOWN PARK LANE KAISER PERMANENTE TOWN PARK MEDICAL CENTER |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701007 | James Larry Hornsby Jr. | Family Medicine | 750 Town Park Lane, Town Park Comprehensive Medical Center, Kennesaw, GA 30144 | 2005-06-23 |
| 1184065468 | Tania Rani Aurora | Physician Assistant | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2013-07-15 |
| 1912250770 | Maureen G Tracchia | Advanced Practice Midwife | 750 Town Park Lane, Kaiser Permanente Comprehensive Medical Center, Kennesaw, GA 30144 | 2012-10-18 |
| 1568753838 | Namita Bhardwaj | Ophthalmology | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2011-04-21 |
| 1407175128 | Aarthi Sridhar | Emergency Medicine | 750 Town Park Lane, Kaiser Permanente Town Park Comprehensive Medical Cente, Kennesaw, GA 30144 | 2010-05-20 |
| 1023347010 | Esther M. Motlhatlhedi | Family Medicine | 750 Town Park Lane, Paiser Permanente Town Park Medical Office-dept of Ambu, Kennesaw, GA 30144 | 2009-12-22 |
| 1336382753 | Dareema Hughes | Emergency Medicine | 750 Town Park Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2009-04-15 |
| 1972762136 | Suleka Neelagaru | Student in an Organized Health Care Education/Training Program | 750 Town Park Lane, Kaiser Permenente Town Park Medical Office, Kennesaw, GA 30144 | 2008-06-03 |
| 1972775039 | Benjamin Hall Roberts | Pediatrics | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2008-03-29 |
| 1396938353 | Shreya A Patel | Optometrist | 750 Town Park Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2007-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912123183 | Stephanie Delphine Parris | Physician Assistant | 1372 Pembridge Trace Northwest, Kennesaw, GA 30152-5471 | 2007-04-17 |
| 1871577395 | Stephen E Galya | Physician Assistant | 5150 Stilesboro Rd Nw Ste 120, Kennesaw, GA 30152 | 2005-11-30 |
| 1841681293 | Cole T Scotti | Physician Assistant | 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2015-02-06 |
| 1184065468 | Tania Rani Aurora | Physician Assistant | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2013-07-15 |
| 1750627295 | Karma D Mehta | Physician Assistant | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2013-01-01 |
| 1982987376 | Mallory Mccord Aycock | Physician Assistant | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2011-09-22 |
| 1700180254 | Brian Christopher Evans | Physician Assistant | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2010-12-27 |
| 1841462538 | Richard Brian Prater | Physician Assistant | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2008-04-02 |
| 1588864953 | Erica Rivera-armoreda | Physician Assistant | 5150 Stilesboro Rd Nw, Kennesaw, GA 30152-7744 | 2007-07-23 |
| 1073679668 | Frankie Elizabeth Davis | Physician Assistant | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2006-12-28 |
| Find all providers in KENNESAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.