Healthcare Provider Details

I. General information

NPI: 1740442599
Provider Name (Legal Business Name): SHERIKA SURATA NEWMAN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 BRIARCLIFF RD NE
ATLANTA GA
30329-3034
US

IV. Provider business mailing address

2480 BRIARCLIFF RD NE
ATLANTA GA
30329-3034
US

V. Phone/Fax

Practice location:
  • Phone: 490-900-8654
  • Fax: 954-869-2434
Mailing address:
  • Phone: 490-900-8654
  • Fax: 954-869-2434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number71125
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number71125
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: