SYDNEY RAE SUDDERTH - NPI 1144962242 - Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Sydney Sudderth's NPI number?

The NPI number for Sydney Sudderth is 1144962242. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Q: What is Sydney Sudderth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sydney Sudderth was last updated on April 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Sydney Rae Sudderth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYDNEY RAE SUDDERTH (NPI 1144962242) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144962242

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSYDNEY RAE SUDDERTH

Location Address1365 CLIFTON RD NE STE B1400Atlanta, GA 30322-1013

Mailing Address1365 Clifton Rd Ne Ste B1400Atlanta, GA 30322-1013 · (404) 778-4898 · Fax (404) 778-4006

Phone(404) 778-4898

Fax(404) 778-4006

Sole ProprietorNo

Enumeration DateApril 9, 2022

NPPES CertifiedApril 9, 2022

✔ NPI 1144962242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1365 CLIFTON RD NE STE B1400, Atlanta, GA 30322

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydney Rae Sudderth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NELSON KEVIN TANEFO KUETE MD

Student in an Organized Health Care Education/Training Program