Active NPI
Judy H. Sequeira, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 042118
- Practice address
- 488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409 - Phone
- (404) 885-7701
- Fax
- (404) 885-7777
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 042118 | GA | Primary |
Addresses
Primary practice location
488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Mailing address
550 Peachtree St NE
Suite 1620
Atlanta, GA 30308-2247
Phone (404) 885-7701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000866929F | Medicaid | GA | |
| 22BDDBV | Other | GA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Medical College of Georgia School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 85.63
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.74 of 100
- Quality
- 63.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 57.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042118 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aga Professional Services, LLC | Current | Accepting new patients | |
| County of Monterey Behavioral Health | Current | Accepting new patients | |
| County of Monterey | Current | Accepting new patients | |
| South Suburban Pathologists PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients | |
| Pathology and Laboratory Medicine, PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| County of Monterey | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| County of Monterey | Past | Accepting new patients |
Locations
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
3300 Buckeye Rd
Ste 178
Atlanta, GA 30341
Phone (770) 458-6101
550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094
1269 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 922-0505
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
7229 Wheat St NE
Covington, GA 30014
Phone (678) 625-5132
488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075
2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
62742 Collections Ctr Dr
Chicago, IL 60693
5700 Southwyck Blvd
Toledo, OH 43614
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
Organizations & group practices 9
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.
-
dba Natividad Medical Center
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
- Anatomic Pathology & Clinical Pathology Physician
- Atlanta, GA
- NPI 1649494816
-
- Anatomic Pathology & Clinical Pathology Physician
- Conyers, GA
- NPI 1720016801
-
- Family Medicine Physician
- Prunedale, CA
- NPI 1063151363
-
dba Access to Treatment Pearl St
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1053126003
-
dba Monterey County Health Clinic at Marina
- Family Medicine Physician
- Marina, CA
- NPI 1588617955
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Natividad Medical Center
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1487604849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1620",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082247",
"telephone_number": "404-885-7701",
"fax_number": "404-885-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 KENNESAW AVE NW",
"address_2": "SUITE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609409",
"telephone_number": "404-885-7701",
"fax_number": "404-885-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEQUEIRA",
"first_name": "JUDY",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "042118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000866929F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "22BDDBV",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.