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

Q: 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.

Q: 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.

Q: 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.

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: August 16, 2026.

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

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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.

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

Phone(404) 256-2593

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

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Other Identifiers 1

Medicaid003216382AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

CARRIE NG MD

Pediatrics (Pediatric Emergency Medicine)