EMILY SUSONG PA-C NPI 1164297271

NPI Information

  • NPI: 1164297271
  • Provider Name: EMILY SUSONG, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6232 W ANDREW JOHNSON HWY STE 1400
    TALBOTT, TN
    ZIP 37877
  • Phone: (423) 714-4070

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NPI Details

Emily Susong, PA-C is a medical physician assistant in Talbott, TN with 3 years of experience. Emily Susong, PA-C NPI is 1164297271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6232 W ANDREW JOHNSON HWY STE 1400
TALBOTT, TN
ZIP 37877-604
Phone: (423) 714-4070

The NPI 1164297271 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2023 and was last updated on 11/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical5738TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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