Individual provider Active NPI

Sequioa Ducasse, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
National Provider Identifier
1194184879
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PR372 Issued in FL
Practice address
2550 Windy Hill Rd SE Ste 206
Marietta, GA 30067-8654
Phone
(404) 833-3969
Fax
(404) 228-9892
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PR372 FL Primary

Addresses

Primary practice location

2550 Windy Hill Rd SE Ste 206
Marietta, GA 30067-8654

Mailing address

2550 Windy Hill Rd SE Ste 206
Marietta, GA 30067-8654
Phone (404) 833-3969

Other practice location 1

2500 SW 75th Ave
Miami, FL 33155-2805
Phone (305) 264-5252

Other practice location 2

3200 Downwood Cir NW Ste 520A
Atlanta, GA 30327-1610
Phone (404) 228-9892

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180207001296 GA Practitioner - Podiatry 7719247055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians

Practice addresses (Care Compare)

125 Samaritan Dr
Cumming, GA 30040-2354
Phone (877) 674-1211

2550 Windy Hill Rd SE
Suite 206
Marietta, GA 30067-8654
Phone (404) 228-9892

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue240
Removal or shaving of skin growth1-10
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR372FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
US Neuropathy Centers LLC CurrentSince Sep 17, 2019 Accepting new patients
Aria Podiatry Care PLLC CurrentSince Oct 30, 2025 Accepting new patients
Aria Dental Care PC Past Accepting new patients
Easy Walk Foot Clinic LLC Foot & Ankle Surgery Past Accepting new patients
Diabetic Foot and Ankle Clinic of Georgia, Inc PastSince Dec 9, 2019 Accepting new patients

Locations

3200 Downwood Cir NW
Ste 520
Atlanta, GA 30327
Phone (404) 355-0933

3200 Downwood Cir NW
Ste 520A
Atlanta, GA 30327
Phone (404) 228-9892

125 Samaritan Dr
Cumming, GA 30040
Phone (770) 537-4482

200 Medical Dr
Lagrange, GA 30240
Phone (706) 803-7180

2550 Windy Hill Rd SE
Ste 206
Marietta, GA 30067
Phone (404) 228-9892

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

1975 Highway 54 W
Ste 200
Peachtree Cty, GA 30269
Phone (404) 768-3668

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1194184879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 206",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678654",
            "telephone_number": "404-833-3969",
            "fax_number": "404-228-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 206",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678654",
            "telephone_number": "404-833-3969",
            "fax_number": "404-228-9892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 SW 75th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331552805",
            "country_code": "US",
            "telephone_number": "305-264-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Downwood Cir NW Ste 520A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303271610",
            "country_code": "US",
            "telephone_number": "404-228-9892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCASSE",
        "first_name": "SEQUIOA",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PR372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.