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DR. KENNETH M SUSSMAN M.D.
NPI 1194888065
Obstetrics & Gynecology in Dacula, GA

Active since December 19, 2006
768 GLEN VALLEY WAY, DACULA, GA 30019(770) 513-3990 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth M Sussman M.d. NPPES

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

DR. KENNETH M SUSSMAN M.D. (NPI 1194888065) is an individual obstetrics & gynecology provider in Dacula, Georgia, licensed in Georgia (050757) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1194888065
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KENNETH M SUSSMANCredential: M.D.
Location Address768 GLEN VALLEY WAYDacula, GA 30019-4878
Mailing Address768 Glen Valley WayDacula, GA 30019-4878 · (770) 513-3990
Phone(770) 513-3990
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1194888065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 050757
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
768 GLEN VALLEY WAY, Dacula, GA 30019
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Other Identifiers 1

Medicare UPINUPIN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Sussman's NPI number?

The NPI number for Kenneth Sussman is 1194888065. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Kenneth Sussman located?

Kenneth Sussman practices at 768 Glen Valley Way, Dacula, GA 30019. The listed phone number is (770) 513-3990.

What is Kenneth Sussman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Sussman was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.