DR. SUZETTE ANDREAN CLEMENTS (NPI# 1003846718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003846718 |
| Entity Type | Individual |
| Full Name | DR. SUZETTE ANDREAN CLEMENTS |
| Credential | D.P.M., |
| Practice Address |
4535 Flat Shoals Pkwy Suite # 301 Decatur GA 30034-5039 |
| Practice Telephone | 4043813600 |
| Practice Fax Number | 4043814900 |
| Mailing Telephone | 4043813600 |
| Mailing Fax Number | 4043814900 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD000952 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00963531A | 05 |
| Street Address |
4535 FLAT SHOALS PKWY SUITE # 301 |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-5039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316322795 | Kendra Golden | Speech-Language Pathologist | 4535 Flat Shoals Pkwy, Suite 301, Decatur, GA 30034-5039 | 2015-07-27 |
| 1952799546 | Shevon Walker | Speech-Language Pathologist | 4535 Flat Shoals Pkwy, Decatur, GA 30034-5039 | 2015-01-05 |
| 1396145678 | Whitney Telfare | Occupational Therapist | 4535 Flat Shoals Pkwy, Suite 301, Decatur, GA 30034-5039 | 2014-08-24 |
| 1093141475 | Alfreda Lynn Mckenzie | Speech-Language Pathologist | 4535 Flat Shoals Pkwy, Suite 301, Decatur, GA 30034-5039 | 2013-09-17 |
| 1184840308 | Janelle Eloise Bingham | Speech-Language Pathologist | 4535 Flat Shoals Pkwy, Suite 301, Decatur, GA 30034-5039 | 2007-04-17 |
| 1730233396 | Marlene Prejean | Speech-Language Pathologist | 4535 Flat Shoals Pkwy, Suite 301, Decatur, GA 30034-5039 | 2007-01-22 |
| 1568550275 | Tammy Raquel Neyland-goines | Physical Therapist | 4535 Flat Shoals Pkwy, Decatur, GA 30034-5039 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1083876304 | Greenbriar Foot & Ankle Center LLC | Podiatrist | 4480 Covington Highway, Suite A, Decatur, GA 30034 | 2008-06-27 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1811916497 | Howard M Bryant | Podiatrist | 2575 Snapfinger Rd Ste D, Decatur, GA 30034-2300 | 2006-07-18 |
| 1538103403 | Jonathan Mark Smith | Podiatrist | 145 S 2nd St, Decatur, IN 46733-1664 | 2006-06-15 |
| 1427014034 | Craig Allen Murad | Podiatrist | 1481 Oakridge Cir, Decatur, GA 30033-2137 | 2006-04-22 |
| 1598230690 | Nickil Nayee | Podiatrist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2018-10-04 |
| 1417458357 | Karen Moon | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2018-02-26 |
| 1720536089 | Barbara L Norvell LLC | Podiatrist | 2575 Snapfinger Rd Ste D, Decatur, GA 30034-2300 | 2016-09-15 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.