SUZANNE A CHILDERS (NP) – Family Nurse Practitioner, NPI 1083050215

SUZANNE A CHILDERS (NP) is a healthcare provider. based in Gainesville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN17911 (GA). The NPI Number for SUZANNE A CHILDERS (NP) is 1083050215

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE A CHILDERS (NP)
NPI
1083050215
Phone
(770) 219-8420
Address
601 S ENOTA DR NE
Enumeration Date
15 May 2013
Last Update Date
25 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068676005
Graduation Year
2013 (13 years ago)
PAC ID
9234379942
Group Practice PAC ID
9537218276
Professional Enrollment ID
I20130701000181
Address ID
GA305335503DA1300XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for SUZANNE A CHILDERS (NP)

  • 601 S ENOTA DR NE

    SUITE Q

    GAINESVILLE, GA 305012400

    Phone: (770) 219-8420

    Fax: (770) 219-8440

    Type: Mailing

  • 950A SOUTH ENOTA DRIVE

    GAINESVILLE, GA 305012439

    Phone: (678) 450-8969

    Fax: (678) 450-8957

    Type: Location

  • 1300 S CHESTATEE

    DAHLONEGA, GA 305335503

    Phone: (706) 867-6005

    Fax: (706) 867-6012

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130701000181INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes13988$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg11317$0
81003Automated urinalysis test8071$0
99214Established patient office or other outpatient visit, 30-39 minutes7554$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6969$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537218276View full group profile
NameSpecialtyState
Family PracticeGA

Reviews

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Frequently asked questions

Can I use this page to confirm SUZANNE A CHILDERS (NP)'s NPI?
Yes. SUZANNE A CHILDERS (NP) is listed with NPI 1083050215 in the public NPI dataset.
Is SUZANNE A CHILDERS (NP) still practicing?
SUZANNE A CHILDERS (NP) is currently listed as active in the public NPI registry.
What taxonomy line describes SUZANNE A CHILDERS (NP)?
For research purposes, treat SUZANNE A CHILDERS (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is SUZANNE A CHILDERS (NP) based?
SUZANNE A CHILDERS (NP) is tied to Gainesville, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about SUZANNE A CHILDERS (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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