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SUSANA MCGUIRE CNP-FAMILY
NPI 1487991675
Nurse Practitioner - Family in Canton, GA

Active since January 09, 2013PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
3785 SIXES RD, CANTON, GA 30114(770) 720-3466(678) 721-1091 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susana Mcguire Cnp-family NPPES

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

SUSANA MCGUIRE CNP-FAMILY (NPI 1487991675) is an individual family provider in Canton, Georgia, licensed in Georgia (RN225639) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487991675
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSANA MCGUIRECredential: CNP-FAMILY
Location Address3785 SIXES RDCanton, GA 30114-7809
Mailing Address3785 Sixes RdCanton, GA 30114-7809 · (770) 720-3466
Phone(770) 720-3466
Fax(678) 721-1091
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 9, 2013
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1487991675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN225639
3785 SIXES RD, Canton, GA 30114
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 and accepts Medicare assignment

Susana Mcguire Cnp-family is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618113648
PECOS Enrollment IDI20130815000236
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
18 services18 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES 12

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

DR. EMILIO GRANDEZ RPH
Pharmacy (Community/Retail Pharmacy)
3785 SIXES RD
CANTON, GA 30114
Cherokee County (770) 720-3466
OLUKEMI ONIFADE SPRADLING
Pharmacist
3785 SIXES RD
CANTON, GA 30114
Cherokee County (404) 213-7731
MS. LISA GAYLE SARRELL FNP-C
Nurse Practitioner (Family)
3785 SIXES RD, MINUTECLINIC
CANTON, GA 30114
Cherokee County (770) 720-3466
KACEY M MOSELY APRN
Nurse Practitioner (Family)
3785 SIXES RD
CANTON, GA 30114
Cherokee County (866) 389-2727
NIKUNJBHAI PATEL
Pharmacist
3785 SIXES RD
CANTON, GA 30114
Cherokee County (770) 720-3466
MRS. PAULA SUE THIBAULT APRN NP-C
Nurse Practitioner (Family)
3785 SIXES RD
CANTON, GA 30114
Cherokee County (770) 720-3466
MRS. TANIA MCKENZIE-MING NP-C
Nurse Practitioner (Family)
3785 SIXES RD
CANTON, GA 30114
Cherokee County (508) 479-8061
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy
3785 SIXES RD
CANTON, GA 30114
Cherokee County (770) 720-3466

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 Susana Mcguire's NPI number?

The NPI number for Susana Mcguire is 1487991675. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Where is Susana Mcguire located?

Susana Mcguire practices at 3785 Sixes Rd, Canton, GA 30114. The listed phone number is (770) 720-3466.

What is Susana Mcguire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susana Mcguire enrolled in Medicare?

Yes. Susana Mcguire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susana Mcguire was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.