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ERIN BARDONNER SUSTACHEK APRN
NPI 1952016396
Nurse Practitioner - Pediatrics in Canton, GA

Active since January 19, 2023PECOS Enrolled
210 OAKSIDE LN, CANTON, GA 30114(678) 807-1050(770) 720-7384 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2024, Jan 19, 2023 (2 updates tracked since 2023).

About Erin Bardonner Sustachek Aprn NPPES

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

ERIN BARDONNER SUSTACHEK APRN (NPI 1952016396) is an individual pediatrics provider in Canton, Georgia, licensed in Georgia (GAA-NP001149) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952016396
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameERIN BARDONNER SUSTACHEKCredential: APRN
Location Address210 OAKSIDE LNCanton, GA 30114-6417
Mailing AddressPo Box 307Cumming, GA 30028-0307 · (770) 887-1668 · Fax (770) 781-9937
Phone(678) 807-1050
Fax(770) 720-7384
Sole ProprietorNo
Enumeration DateJanuary 19, 2023
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1952016396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · GAA-NP001149
210 OAKSIDE LN, Canton, GA 30114
Open in Google Maps ↗

Other Names 1

Former Name (1)Erin Marie Bardonner Aprn

Secondary Practice Locations 2

Location 1220 Oakside LnCanton, GA 30114-6413 · Phone (678) 807-1050 · Fax (770) 720-7384
Location 2540 Dahlonega StCumming, GA 30040-2110 · Phone (770) 887-1668 · Fax (770) 781-9937

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Bardonner Sustachek Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

ATLANTA HEART CENTER LLP
Specialist
210 OAKSIDE LN, SUITE C
CANTON, GA 30114
Cherokee County (770) 704-1955
MR. DENNIS GARRETT MCKENNA P.A.-C.
Physician Assistant
210 OAKSIDE LN, SUITE C
CANTON, GA 30114
Cherokee County (678) 593-1295
GEORGIA HIGHLANDS MEDICAL SERVICES, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
210 OAKSIDE LN
CANTON, GA 30114
Cherokee County (678) 807-1050

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 Erin Sustachek's NPI number?

The NPI number for Erin Sustachek is 1952016396. It was assigned to this individual provider in the NPPES registry on January 19, 2023. The provider is also known as Erin Marie Bardonner Aprn.

Where is Erin Sustachek located?

Erin Sustachek practices at 210 Oakside Ln, Canton, GA 30114. The listed phone number is (678) 807-1050.

What is Erin Sustachek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Erin Sustachek enrolled in Medicare?

Yes. Erin Sustachek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erin Sustachek was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.