JENNIFER SU MD
NPI 1992468474
Dermatology in Augusta, GA

Q: What is Jennifer Su's NPI number?

The NPI number for Jennifer Su is 1992468474. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Q: What is Jennifer Su's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Su was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 20, 2021PECOS Enrolled

1447 HARPER ST, AUGUSTA, GA 30912(706) 721-3291(706) 721-7960 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Jul 4, 2023, Oct 20, 2021 (3 updates tracked since 2021).

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About Jennifer Su Md NPPES

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

JENNIFER SU MD (NPI 1992468474) is an individual dermatology provider in Augusta, Georgia, licensed in Georgia (13634) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1992468474

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameJENNIFER SUCredential: MD

Location Address1447 HARPER STAugusta, GA 30912-1101

Mailing Address1004 Chafee AveAugusta, GA 30904-5810

Phone(706) 721-3291

Fax(706) 721-7960

Sole ProprietorNo

Enumeration DateOctober 20, 2021

Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1992468474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in GA · 13634

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1447 HARPER ST, Augusta, GA 30912

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Secondary Practice Location 1

Location 1677 Church St NEMarietta, GA 30060-1101 · Phone (770) 793-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Su 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

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 12

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

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