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SUSHMA SUDHI DO
NPI 1770045015
Pediatrics in Carrollton, GA

Active since April 04, 2019PECOS Enrolled
706 DIXIE ST STE 210, CARROLLTON, GA 30117(770) 812-8640(770) 838-8650 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 27, 2022, Apr 4, 2019 (2 updates tracked since 2019).

About Sushma Sudhi Do NPPES

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

SUSHMA SUDHI DO (NPI 1770045015) is an individual pediatrics provider in Carrollton, Georgia, licensed in Georgia (91782) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770045015
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSHMA SUDHICredential: DO
Location Address706 DIXIE ST STE 210Carrollton, GA 30117-3889
Mailing Address706 Dixie St Ste 210Carrollton, GA 30117-3889 · (770) 812-8640 · Fax (770) 838-8650
Phone(770) 812-8640
Fax(770) 838-8650
Sole ProprietorNo
Enumeration DateApril 4, 2019
Last NPPES UpdateMay 27, 20222 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
✔ NPI 1770045015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 91782
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
706 DIXIE ST STE 210, Carrollton, GA 30117
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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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sushma Sudhi Do 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 Reassignment

Medicare enrollment records show Sushma Sudhi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tanner Medical Group Inc
1.4 mi
Cardiovascular Disease
100 GREENWAY BLVD FL 2
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
NPI 1396979787 (770) 838-8710

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 3

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

SARAH B VALDES ARNP
Nurse Practitioner
706 DIXIE ST STE 210
CARROLLTON, GA 30117
Carroll County (770) 812-8640
EMILY DENNEY MD
Pediatrics
706 DIXIE ST STE 210
CARROLLTON, GA 30117
Carroll County (770) 812-8640
ELISABETH MCPHERSON
Nurse Practitioner (Pediatrics)
706 DIXIE ST STE 210
CARROLLTON, GA 30117
Carroll County (770) 838-8640

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 Sushma Sudhi's NPI number?

The NPI number for Sushma Sudhi is 1770045015. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Sushma Sudhi located?

Sushma Sudhi practices at 706 Dixie St Ste 210, Carrollton, GA 30117. The listed phone number is (770) 812-8640.

What is Sushma Sudhi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sushma Sudhi enrolled in Medicare?

Yes. Sushma Sudhi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sushma Sudhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Sudhi reassigns Medicare benefits to Tanner Medical Group Inc (Carrollton, GA). The 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 Sushma Sudhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushma Sudhi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sushma Sudhi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sushma Sudhi was last updated on May 27, 2022. 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.