DR. SUSAMMA MATHEW (NPI# 1942209259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942209259 |
| Entity Type | Individual |
| Full Name | DR. SUSAMMA MATHEW |
| Credential | MD |
| Practice Address |
3525 Sugarloaf Pkwy Lawrenceville GA 30044-5403 |
| Practice Telephone | 6783771113 |
| Practice Fax Number | 6783779390 |
| Mailing Telephone | 6783771113 |
| Mailing Fax Number | 6783779390 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2011-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 045881 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00797057B | 05 |
| Street Address |
3525 SUGARLOAF PKWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251815 | Alma Cehaja | Pediatrics | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2020-10-08 |
| 1689119299 | Emily Griffin Roper | Nurse Practitioner | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2017-01-05 |
| 1255466769 | Lekha Mathew | Pediatrics | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2007-02-23 |
| 1134297799 | Sugarloaf Pediatrics, PC | Clinic/Center | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184048209 | Daniel Long | Specialist | 233 Moorland Way, Lawrenceville, GA 30043 | 2014-02-10 |
| 1396188876 | East Metro Primary Care | Specialist | 325 Lester Rd Nw, Suite C, Lawrenceville, GA 30044-4024 | 2013-04-15 |
| 1861710998 | Georgia Quality Kidney Care, LLC | Specialist | 170 Camden Hill Road, Suite F, Lawrenceville, GA 30046 | 2010-05-13 |
| 1508005141 | Bobby Walker | Specialist | 450 Sweet Ivy Ln, Lawrenceville, GA 30043-3068 | 2009-02-05 |
| 1023265873 | Accurate Medical Diagnostics, LLC | Specialist | 1498 Dulwich Ct, Lawrenceville, GA 30043-7535 | 2008-08-23 |
| 1265604896 | Gwinnett Sportherapy | Specialist | 965 Oakland Rd Ste 2c, Lawrenceville, GA 30044-3758 | 2008-03-24 |
| 1437270923 | Crelvis, Inc. | Specialist | 271-a S Culver St, Lawrenceville, GA 30045-4805 | 2007-04-02 |
| 1982747465 | Dana Lynn Prater | Specialist | 386 Windsor Farms Dr, Lawrenceville, GA 30045-6068 | 2007-02-15 |
| 1083770655 | John Martin Tilley | Specialist | 801 Bolling Cv, Lawrenceville, GA 30045-2430 | 2006-12-28 |
| 1265509376 | Jennie Nichole Stokes | Specialist | 1688 Lawrenceville Hwy, Lawrenceville, GA 30044-4608 | 2006-11-30 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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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.