Healthcare Provider Details
I. General information
NPI: 1972562080
Provider Name (Legal Business Name): LUCY SCHMIDT SUGG CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/20/2006
Last Update Date: 10/12/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1955 TEXTILE WAY STE A
GAINESVILLE GA
30501-2543
US
IV. Provider business mailing address
2295 TOWNE LAKE PKWY STE 116-295
WOODSTOCK GA
30189-5520
US
V. Phone/Fax
- Phone: 678-987-1499
- Fax:
- Phone: 678-699-3636
- Fax: 941-358-9818
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | AP60765744 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | APRN-CRNA045112 |
| License Number State | GA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | 006165 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: