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MRS. ELIZABETH J SUDDUTH M.D.
NPI 1417020272
Internal Medicine - Infectious Disease in Brunswick, GA

Active since November 17, 2006PECOS Enrolled
71.88/100
CMS Quality Rating
2415 PARKWOOD DR, BRUNSWICK, GA 31520(912) 466-5196(912) 466-5197 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Elizabeth J Sudduth M.d. NPPES

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

MRS. ELIZABETH J SUDDUTH M.D. (NPI 1417020272) is an individual infectious disease provider in Brunswick, Georgia, licensed in Georgia (031267) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417020272
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMRS. ELIZABETH J SUDDUTHCredential: M.D.
Location Address2415 PARKWOOD DRBrunswick, GA 31520-4722
Mailing AddressPo Box 1213Burnswick, GA 31521-1213 · (912) 466-5196 · Fax (912) 466-5091
Phone(912) 466-5196
Fax(912) 466-5197
Sole ProprietorYes
Enumeration DateNovember 17, 2006
Last NPPES UpdateNovember 29, 2010
✔ NPI 1417020272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in GA · 031267
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2415 PARKWOOD DR, Brunswick, GA 31520
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Other Identifiers 1

Medicare UPINE59078

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth J Sudduth M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Sudduth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cooperative Healthcare Services Inc
Same address
Clinic/Center
2415 PARKWOOD DR
Brunswick, GA 31520
  • Reassigned Medicare billing, Georgia enrollment
  • 339 clinicians in this Medicare group
NPI 1417979402 (912) 466-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31520 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.34
Promoting Interoperability100
Improvement Activities40
Cost58.94

Other Providers at the Same Location NPPES 20

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

JAYDA SKYE ANDERSON
Nurse Anesthetist, Certified Registered
2415 PARKWOOD DR
BRUNSWICK, GA 31520
Glynn County (912) 466-7000
DR. CALEB POWELL D.O.
Emergency Medicine
2415 PARKWOOD DR
BRUNSWICK, GA 31520
Glynn County (912) 466-7000
SHANNON LYNNE MONTELEONE CRNA
Nurse Anesthetist, Certified Registered
2415 PARKWOOD DR
BRUNSWICK, GA 31520
Glynn County (912) 466-7000
KRISTOPHER POLKA NP
Nurse Practitioner (Family)
2415 PARKWOOD DR
BRUNSWICK, GA 31520
Glynn County (912) 466-7000
DANIEL EDWARD SEAY MD
Emergency Medicine
2415 PARKWOOD DR
BRUNSWICK, GA 31520
Glynn County (912) 466-7000
MR. JESUS M ABAD PT
Physical Therapist
2415 PARKWOOD DR
BRUNSWICK, GA 31520
Glynn County (912) 466-2660
CLAIRE BRANCH REYNA PA-C
Physician Assistant (Medical)
2415 PARKWOOD DR
BRUNSWICK, GA 31520
Glynn County (912) 466-7000
MRS. AMY HAMM FAIRCLOTH P.T.
Physical Therapist
2415 PARKWOOD DR
BRUNSWICK, GA 31520
Glynn County (912) 466-2660

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 Elizabeth Sudduth's NPI number?

The NPI number for Elizabeth Sudduth is 1417020272. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Elizabeth Sudduth located?

Elizabeth Sudduth practices at 2415 Parkwood Dr, Brunswick, GA 31520. The listed phone number is (912) 466-5196.

What is Elizabeth Sudduth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Elizabeth Sudduth enrolled in Medicare?

Yes. Elizabeth Sudduth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Sudduth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Sudduth reassigns Medicare benefits to Cooperative Healthcare Services Inc (Brunswick, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Sudduth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Sudduth was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.