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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSANNE ELIZABETH VAZQUEZ PA
NPI 1649993502
Physician Assistant in Marietta, GA

Active since September 26, 2022
625 CHURCH ST NE, MARIETTA, GA 30060(470) 956-2098(770) 999-2578 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2026, Sep 26, 2022 (2 updates tracked since 2022).

About Susanne Elizabeth Vazquez Pa NPPES

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

SUSANNE ELIZABETH VAZQUEZ PA (NPI 1649993502) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (12202) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1649993502
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSANNE ELIZABETH VAZQUEZCredential: PA
Location Address625 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address1462 Clifton Rd Ne Ste 280Atlanta, GA 30322-1063 · (404) 727-7825
Phone(470) 956-2098
Fax(770) 999-2578
Sole ProprietorYes
Enumeration DateSeptember 26, 2022
Last NPPES UpdateNovember 3, 20262 updates tracked since enumeration
NPPES CertifiedNovember 3, 2026
✔ NPI 1649993502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 12202
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
625 CHURCH ST NE, Marietta, GA 30060
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MARIETTA OB GYN AFFILIATES 2 LLC
Obstetrics & Gynecology
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (404) 943-0205
DR. SADEKA SHAHANI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 422-2004
DR. JEROME B BLUMENTHAL MD
Internal Medicine
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 422-2004
BENYAMIN FARAHVASH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 422-2004
WELLSTAR MEDICAL GROUP, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 422-2004
DR. SRINIVAS BONTHA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
625 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 422-2004

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 Susanne Vazquez's NPI number?

The NPI number for Susanne Vazquez is 1649993502. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Susanne Vazquez located?

Susanne Vazquez practices at 625 Church St NE, Marietta, GA 30060. The listed phone number is (470) 956-2098.

What is Susanne Vazquez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Susanne Vazquez was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.