Provider Demographics
NPI:1801973490
Name:GARWOOD, SUSAN KAY (MD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:KAY
Last Name:GARWOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:KAY
Other - Last Name:AUSTELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:SUITE LL50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2300
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:SUITE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-297-2700
Practice Address - Fax:615-386-2398
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD038026207R00000X, 207RC0200X, 207RP1001X
TN038026207R00000X, 207RC0200X, 207RP1001X
TXM6628207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4252224OtherBLUECROSSBLUESHIELD
TN1515652Medicaid
KY7100092690Medicaid
TN9321112OtherAETNA
P00794964OtherMEDICARE RAILROAD
TN1086838OtherUSA MANAGED CARE ORGANIZATION
TN1086838OtherUSA MANAGED CARE ORGANIZATION
TN1515652Medicaid
TN103I299214Medicare PIN