Suzette Andrean Clements, D.P.M.,

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000952 Issued in GA

Practice address

4535 Flat Shoals Pkwy
Suite # 301
Decatur, GA 30034-5039

Phone

(404) 381-3600

Fax

(404) 381-4900

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (6 of 11)

Locations

Networks

• FL HMO
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• FL HMO D-SNP
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• FL HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flat Shoals Foot & Ankle Center, LLC

  • Foot Surgery Podiatrist
  • Decatur, GA
  • NPI 1154500320

  GA, Podiatrist

  Medicare reassignment NPD Authorized official
• Flat Shoals Foot & Ankle Center, LLC

  • Foot Surgery Podiatrist
  • Decatur, GA
  • NPI 1487978763
  NPD Authorized official
• Georgia Foot & Ankle, P.C.

  • Podiatrist
  • Covington, GA
  • NPI 1174727119
  NPD (past)
• Georgia Foot & Ankle, P.C.

  • Podiatrist
  • Madison, GA
  • NPI 1376718148
  NPD (past)
• Village Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Covington, GA
  • NPI 1942036314

  Podiatrist

  NPD (past)
• Village Podiatry Group, L.L.C.

  • Podiatrist
  • Roswell, GA
  • NPI 1508846718
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1003846718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 FLAT SHOALS PKWY",
            "address_2": "SUITE # 301",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345039",
            "telephone_number": "404-381-3600",
            "fax_number": "404-381-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 FLAT SHOALS PKWY",
            "address_2": "SUITE # 301",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345039",
            "telephone_number": "404-381-3600",
            "fax_number": "404-381-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "SUZETTE",
        "middle_name": "ANDREAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00963531A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharronda Renee Clark, FNP
• Tamika Tashell Clark, LPC
• Alexis Clarke, BACHELOR OF SCIENCE
• Sakinah Clarke
• Clear Vision Eye Center
• Shanard Clemons, LPC
• Tiffany A Clerk, DPT
• Amber Cleveland Lewter, LPC
• Karen Elizabeth Cleveland-Ward, LMSW
• Lorie Ann Click, RN

• All providers in Decatur, GA
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.