SOUTHEAST PODIATRY
NPI 1154568582
Clinic/Center in Marietta, GA

NPI Status: Active since January 07, 2009

Contact Information

3225 SHALLOWFORD RD
SUITE 200
MARIETTA, GA
ZIP 30062
Phone: (770) 675-7904
Fax: (770) 675-7906

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About SOUTHEAST PODIATRY

This page provides the complete NPI Profile along with additional information for Southeast Podiatry, a provider established in Marietta, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1154568582 assigned on January 2009. The practitioner's primary taxonomy code is 261Q00000X with license number POD001011 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Suzanne Marie Clous D.p.m. (Podiatrist)

NPI
1154568582
Provider Name
SOUTHEAST PODIATRY
Entity Type
Organization
Location Address
3225 SHALLOWFORD RD SUITE 200 MARIETTA, GA 30062
Location Phone
(770) 675-7904
Location Fax
(770) 675-7906
Mailing Address
3225 SHALLOWFORD RD SUITE 200 MARIETTA, GA 30062
Mailing Phone
(770) 675-7904
Mailing Fax
(770) 675-7906
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2009
Last Update Date
11-19-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
POD001011
License State
GA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1335E00000XSuppliers

Prosthetic/Orthotic Supplier

POD001011 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SUZANNE MARIE CLOUS D.P.M.

Authorized Official Title
PODIATRIST
Authorized Official Phone
(770) 852-7035

Reviews for SOUTHEAST PODIATRY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154568582
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110410616516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 6 + 1 + 6 + 5 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1154568582 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275581134 LAURETTE HO M.D.
Individual
Pediatrics3225 SHALLOWFORD RD BLDG 1300
MARIETTA, GA 30062
(678) 560-7160
1366592115MRS. MAUREEN DEVANEY NEJEDLY FNP
Individual
Nurse Practitioner (Family)3225 SHALLOWFORD RD BUILDING 1300
MARIETTA, GA 30062
(678) 560-7160
1639346471SANDY PLAINS PEDIATRICS PC
Organization
Pediatrics3225 SHALLOWFORD RD SUITE1300
MARIETTA, GA 30062
(678) 560-7160
1134424203DR. NATHAN JOSHUA BERNER D.C.
Individual
Chiropractor3225 SHALLOWFORD RD
MARIETTA, GA 30062
(770) 726-9968
1639431638 JOANNA HEDEN KERR CPNP
Individual
Nurse Practitioner (Pediatrics)3225 SHALLOWFORD RD 1300
MARIETTA, GA 30062
(678) 560-7160
1609214170BERNER FAMILY CHIROPRACTIC LLC
Organization
Chiropractor3225 SHALLOWFORD RD STE 700
MARIETTA, GA 30062
(770) 726-9968
1366880577MRS. KATHRYN JONES MS, CCC-SLP
Individual
Speech-Language Pathologist3225 SHALLOWFORD RD BLDG 1100, STE 1120
MARIETTA, GA 30062
(404) 547-0825
1356754485MRS. JAIME EMRY
Individual
Speech-Language Pathologist3225 SHALLOWFORD RD BLDG 1100, STE 1120
MARIETTA, GA 30062
(404) 547-0825
1568863215 KATHRYNE BROOKE DRUCKER NP-C
Individual
Nurse Practitioner (Family)3225 SHALLOWFORD RD
MARIETTA, GA 30062
(678) 560-7160
1619230620IMAGINE COUNSELING SERVICES, LLC
Organization
Counselor (Mental Health)3225 SHALLOWFORD RD STE 710
MARIETTA, GA 30062
(678) 654-9237
1841554888 KATHY HAINES LPC
Individual
Counselor (Mental Health)3225 SHALLOWFORD RD SUITE 710
MARIETTA, GA 30062
(678) 654-9237
1831594373MRS. JEAN ELIZABETH BLOND MA, CCC-SLP
Individual
Speech-Language Pathologist3225 SHALLOWFORD RD BLDG 1100, STE 1120
MARIETTA, GA 30062
(404) 547-0825
1396144317BEGIN WITHIN THERAPY
Organization
Counselor (Professional)3225 SHALLOWFORD RD SUITE 710
MARIETTA, GA 30062
(678) 856-6026
1154494508DR. VINCENT HO M.D.
Individual
Psychiatry & Neurology (Psychiatry)3225 SHALLOWFORD RD BUILDING 1300
MARIETTA, GA 30062
(678) 560-7160
1891323093 SARA MOORE
Individual
Psychiatry & Neurology (Psychiatry)3225 SHALLOWFORD RD
MARIETTA, GA 30062
(678) 560-7160

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154568582, enumerated in the NPI registry as an "organization" on January 07, 2009

The provider is located at 3225 Shallowford Rd Suite 200 Marietta, Ga 30062 and the phone number is (770) 675-7904

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 07, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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