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

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