MISS SUSAN RACHEL HUPP MD
NPI 1639330640
Pediatrics - Pediatric Critical Care Medicine in Atlanta, GA

Active since June 23, 2008PECOS Enrolled
1405 CLIFTON RD NE, ATLANTA, GA 30322(404) 256-2593(770) 488-9408 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 22, 2021, Jun 18, 2019 (2 updates tracked since 2019).

About Miss Susan Rachel Hupp Md NPPES

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

MISS SUSAN RACHEL HUPP MD (NPI 1639330640) is an individual pediatric critical care medicine provider in Atlanta, Georgia, licensed in Texas (Q5671) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1639330640
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMISS SUSAN RACHEL HUPPCredential: MD
Location Address1405 CLIFTON RD NEAtlanta, GA 30322-7208
Mailing Address2835 Brandywine Rd Ste 400Atlanta, GA 30341-5540 · (404) 256-2593 · Fax (770) 488-9408
Fax(770) 488-9408
Sole ProprietorNo
Enumeration DateJune 23, 2008
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1639330640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in TX · Q5671
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 35094839 (OH)
1405 CLIFTON RD NE, Atlanta, GA 30322

Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-7208 · Phone (214) 456-7000 · Fax (214) 456-8132

Other Identifiers 1

Medicaid003216382AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Susan Rachel Hupp Md 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 Reassignments

3

Medicare enrollment records show Susan Hupp reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Cardiology
2970 BRANDYWINE RD STE 125
Atlanta, GA 30341
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Children's Healthcare Of Atlanta Cardiology Inc
  • 66 clinicians in this Medicare group
Family Medicine
131 MEDICAL PARK RD STE 302
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
ERWIN RD
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,482 clinicians in this Medicare group

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

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.

Pediatrics (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Pediatrics (Pediatric Cardiology)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Practitioner (Pediatrics)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Pediatrics
1405 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE
ATLANTA, GA 30322
Emergency Medicine (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1405 CLIFTON RD NE
ATLANTA, GA 30322
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322

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 Susan Hupp's NPI number?

The NPI number for Susan Hupp is 1639330640. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Susan Hupp located?

Susan Hupp practices at 1405 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 256-2593.

What is Susan Hupp's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Susan Hupp enrolled in Medicare?

Yes. Susan Hupp is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Hupp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Hupp reassigns Medicare benefits to 3 organizations: Childrens Healthcare Of Atlanta Cardiology Inc (Atlanta, GA), Duke Health Integrated Practice, Inc. (Mooresville, NC) and Duke University Health System, Inc. (Durham, NC). Each 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 Susan Hupp'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 Susan Hupp was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.