Sophia Suddes, CRNA | |
601 Dallas Hwy, Villa Rica, GA 30180-1202 | |
(770) 812-3000 | |
Not Available |
Full Name | Sophia Suddes |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 601 Dallas Hwy, Villa Rica, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851906192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN224198 (Georgia) | Primary |
163W00000X | Registered Nurse | RN224198 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Emory Johns Creek Hospital | Johns creek, GA | Hospital |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Specialty Associates, Llc | 3476559782 | 435 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Tmc-west Georgia Anesthesia Associates Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Sophia Suddes, CRNA 500 Prestwick Ridge Way Apt 43, Knoxville, TN 37919-2405 Ph: (678) 876-7559 | Sophia Suddes, CRNA 601 Dallas Hwy, Villa Rica, GA 30180-1202 Ph: (770) 812-3000 |
Yushonda D. Lofton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-456-3701 | |
David I Antokal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 770-456-3000 Fax: 770-456-3460 | |
Jerry Price Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Barrington Ln, Villa Rica, GA 30180 Phone: 770-824-7855 |