DR. SUZANNAH LEIGH BOZZONE MD
NPI 1639225220
Family Medicine in Ooltewah, TN
About Dr. Suzannah Leigh Bozzone Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUZANNAH LEIGH BOZZONE MD (NPI 1639225220) is an individual family medicine provider in Ooltewah, Tennessee, licensed in Tennessee (54329) and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Suzannah Leigh Bozzone Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37363 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OOLTEWAH, TN 37363
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 Suzannah Bozzone's NPI number?
The NPI number for Suzannah Bozzone is 1639225220. It was assigned to this individual provider in the NPPES registry on January 26, 2007.
Where is Suzannah Bozzone located?
Suzannah Bozzone practices at 5545 Little Debbie Pkwy, Ooltewah, TN 37363. The listed phone number is (423) 455-2711.
What is Suzannah Bozzone's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Suzannah Bozzone enrolled in Medicare?
No. Suzannah Bozzone has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Suzannah Bozzone was last updated on September 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Suzannah Leigh Bozzone, MD · NPI 1639225220
Family Medicine physician in Ooltewah, Tennessee. Individual provider, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1639225220 (Entity type: Individual)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 54329 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 5545 LITTLE DEBBIE PKWY, Ooltewah, TN 37363-4357
- **Phone:** (423) 455-2711
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** September 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639225220) · Data from the CMS NPPES public registry.