Sushma Sudhi, DO - Medicare Pediatrics in Carrollton, GA

Sushma Sudhi, DO is a medicare enrolled "Pediatrics" physician in Carrollton, Georgia. Her current practice location is 706 Dixie St Ste 210, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 812-8640.

Sushma Sudhi is licensed to practice in Georgia (license number 91782) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770045015.

Contact Information

Sushma Sudhi, DO
706 Dixie St Ste 210,
Carrollton, GA 30117-3889
(770) 812-8640
(770) 838-8650



Physician's Profile

Full NameSushma Sudhi
GenderFemale
SpecialityPediatrics
Location706 Dixie St Ste 210, Carrollton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770045015
  • Provider Enumeration Date: 04/04/2019
  • Last Update Date: 05/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820432784
  • Enrollment ID: I20240219002366

Medical Identifiers

Medical identifiers for Sushma Sudhi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770045015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 91782 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sushma Sudhi allows following entities to bill medicare on her behalf.
Entity NameTanner Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396979787
PECOS PAC ID: 2769536143
Enrollment ID: O20090819000657

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sushma Sudhi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sushma Sudhi, DO
706 Dixie St Ste 210,
Carrollton, GA 30117-3889

Ph: (770) 812-8640
Sushma Sudhi, DO
706 Dixie St Ste 210,
Carrollton, GA 30117-3889

Ph: (770) 812-8640

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Pediatrics Doctors in Carrollton, GA

Caitlin Mehalick Tierney, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 804 Dixie St, Carrollton, GA 30117
Phone: 770-834-0606    
Jack W Miller, M.D
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 100 Professional Pl, Ste 104, Carrollton, GA 30117
Phone: 770-830-7039    Fax: 770-830-7149
Nyla Faye Cline, NURSE PRACTIONER
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 804 Dixie St, Carrollton, GA 30117
Phone: 770-834-0606    Fax: 770-834-1833
Charles Edward Stevenson Jr., M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 804 Dixie St, Carrollton, GA 30117
Phone: 770-834-0606    Fax: 770-834-1833
Jonathan M Goodin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 804 Dixie St, Carrollton, GA 30117
Phone: 770-834-0606    Fax: 770-834-1833
Elizabeth Thomas Adamiak, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 804 Dixie St, Carrollton, GA 30117
Phone: 770-834-0606    Fax: 770-834-1833

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