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Mary Suggs

Physician β€’ Commerce, GA

Deactivated NPI 1194121434 Deactivated in NPPES Female Practitioner
Practice location in NPPES

67 Bowden St
Commerce, GA 305292402

Phone: 7063357760

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of November 18, 2022; the reason is not published. The records below are historical. They do not show whether Mary Suggs currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date November 14, 2014
NPI Deactivation Date November 18, 2022
NPI Active Period 2014 – 2022

Practice Location & Contact Primary Location

Practice Address

67 Bowden St

Commerce, GA 305292402

Telephone 7063357760
Organization at the Same NPPES Address or Phone
P Redmon Host Home Facility NPI 1023388360

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Commerce and Georgia

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated November 18, 2022

NPPES lists this NPI as deactivated as of November 18, 2022; the reason is not published.

βœ…
NPI Profile Active November 14, 2014

NPI status registered as active in NPPES database

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Practice Location (Initial Record) November 14, 2014

Registered at 67 BOWDEN ST, COMMERCE, GA 305292402 (Tel: 7063357760)

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Business Mailing Address (Initial Record) November 14, 2014

Registered at 250 NORTH AVE, ATHENS, GA 306012244 (Tel: 7063896790)

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Provider Name / Credentials (Initial Record) November 14, 2014

Recorded as MARY SUGGS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2014

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

🟒
Initial NPI Registration & Enumeration November 14, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194121434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2014
Last Update: November 14, 2014
Deactivation Date: November 18, 2022

Mailing Address

250 North Ave

Athens, GA 306012244

Phone: 7063896790

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.