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NICOLE ILANA SUSSMAN M.D.
NPI 1477997161
Psychiatry & Neurology - Psychiatry in Charleston, SC

Active since April 24, 2013PECOS Enrolled
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Ilana Sussman M.d. NPPES

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

NICOLE ILANA SUSSMAN M.D. (NPI 1477997161) is an individual psychiatry provider in Charleston, South Carolina, licensed in South Carolina (MD82157) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477997161
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameNICOLE ILANA SUSSMANCredential: M.D.
Location Address171 ASHLEY AVECharleston, SC 29425-8229
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Phone(843) 792-1414
Sole ProprietorNo
Enumeration DateApril 24, 2013
Last NPPES UpdateSeptember 24, 2019
✔ NPI 1477997161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · MD82157
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License MD82157 (SC)
171 ASHLEY AVE, Charleston, SC 29425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ilana Sussman 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 Nicole Sussman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates Of The Medical University Of South Carol
Same address
Obstetrics & Gynecology
171 ASHLEY AVE
Charleston, SC 29425
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,594 clinicians in this Medicare group
NPI 1013934629 (843) 792-1414

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 29425 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CAROLYN REED WORD M.D.
Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHRISTOPHER ARNOLD HENSLEY CRNA
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
ANGELINA INDIRA PHILLIPS
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
BLAKE DANIEL FORCINA
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHELSEA LEE CRUISE SW
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. RICHARD HAYDEN JONES MD
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
LINDSEY HENDRICKSON NP
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
MICHAEL DAMASO DE GUZMAN
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414

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 Nicole Sussman's NPI number?

The NPI number for Nicole Sussman is 1477997161. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Nicole Sussman located?

Nicole Sussman practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Nicole Sussman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nicole Sussman enrolled in Medicare?

Yes. Nicole Sussman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Sussman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sussman reassigns Medicare benefits to University Medical Associates Of The Medical University Of South Carol (Charleston, SC). 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 Nicole Sussman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Sussman accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Nicole Sussman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Sussman was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.