Suzanne M Clous, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO4609 Issued in FL

Practice address

300 Columbia Dr Apt 3306
Cape Canaveral, FL 32920-5106

Phone

(404) 556-1710

NPI assigned

Dec 5, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pedirite Medical FL LLC

  • General Practice Physician
  • Debary, FL
  • NPI 1750962023

  Single Specialty

  Medicare reassignment NPD
• Special Care Podiatry of Georgia, LLC

  • Podiatrist
  • Byron, GA
  • NPI 1891195962

  Single Specialty

  Medicare reassignment NPD
• Village Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Covington, GA
  • NPI 1942036314
  NPD (past)
• Village Podiatry Group, L.L.C.

  • Podiatrist
  • Roswell, GA
  • NPI 1508846718

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1225012156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLUMBIA DR APT 3306",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329205106",
            "telephone_number": "404-556-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLUMBIA DR APT 3306",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329205106",
            "telephone_number": "404-556-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUS",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001011",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4609",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Bolton
• Amanda L Booth, RN
• Cathbuddy Inc.
• Douglas Joseph Chadbourne, MD
• Suzanne Champagne Eusebio, LMFT
• Juliah Collins, IDHS
• Homi S Cooper, M.D.
• Daisys Delightful Companions LLC
• Scott J Dalton
• Laura Faiwiszewski, PSYD

• Podiatrist in Cape Canaveral, FL
• Providers in Cape Canaveral, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.