NPI age
14 years
Enumerated 2012-04-30
● Active
Type 1 · Individual
DR. Jennifer Ellen Susoreny-Velgos, D.O.
Susoreny-Velgos is 1 of 12 surgery providers in Lagrange and 1 of 1389 in Georgia.
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
GA, AR, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-01-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1389 active surgery providers in Georgia.
NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
3 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Practice location
1600 Vernon Rd Ste A
Lagrange, GA 302404143
Mailing address
1600 Vernon Rd Ste A
Lagrange, GA 302404143
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
2202 State Ave Ste 108b
Panama City, FL 324054539
Location 3
1000 W Kingshighway, Suite 13
Paragould, AR 72450
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 221624003 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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