Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth M Sussman, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1194888065

Dr. Kenneth M Sussman, MD is an Obstetrics & Gynecology Physician in Dacula, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

768 Glen Valley Way
Dacula, GA 30019-4878
Phone: (770) 513-3990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 050757 (GA)

Record details

NPI number1194888065
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 19, 2006
Last updated in NPPESJuly 9, 2007
Mailing address768 Glen Valley Way, Dacula, GA 30019-4878

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