DR. AUDREY LYNN SUTTON-SURAK DO NPI 1922080811

NPI Information

  • NPI: 1922080811
  • Provider Name: DR. AUDREY LYNN SUTTON-SURAK, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1013 PORTERS NECK RD
    SUITE 100
    WILMINGTON, NC
    ZIP 28411
  • Phone: (910) 686-1099

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NPI Details

DR. Audrey Lynn Sutton-surak, DO is a family medicine in Wilmington, NC with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Audrey Lynn Sutton-surak, DO NPI is 1922080811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1992

The provider's business location address is:

1013 PORTERS NECK RD
SUITE 100
WILMINGTON, NC
ZIP 28411
Phone: (910) 686-1099
Fax: (910) 686-4715

The NPI 1922080811 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Urinalysis, manual test (HCPCS:81002)
  • Nursing facility discharge day management, 30 minutes or less (HCPCS:99315)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 11/16/2005 and was last updated on 8/6/2018.

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
1207Q00000XFamily Medicine25MB6325500NEW JERSEYNo
2207Q00000XFamily Medicine200501955NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15231159OTHERAETNA
29614555OTHERCIGNA
35904062MEDICAIDNORTH CAROLINA
41378260OTHERUNITED HEATHCARE

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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