Individual provider Active NPI

Judy H. Sequeira, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Marietta, GA
National Provider Identifier
1487604849
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
042118 Issued in GA
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

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000866929FMedicaidGA
22BDDBVOtherGAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040928000827 GA Practitioner - Pathology 4183693013 Reassigns benefits to 4 organizations
I20250604004269 CA Practitioner - Pathology 4183693013 Reassigns benefits to 1 organization

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
County of MontereyGroup PAC ID 2466345632, 186 clinicians

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 100Reported as group
Quality
85.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
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

LicenseStateTypeSpecialty
042118GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aga Professional Services, LLC CurrentSince Dec 1, 2011 Accepting new patients
County of Monterey Behavioral Health CurrentSince Mar 28, 2025 Accepting new patients
County of Monterey CurrentSince Mar 28, 2025 Accepting new patients
South Suburban Pathologists PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 24, 2000 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Mar 15, 2013 Accepting new patients
Pathology and Laboratory Medicine, PC Anatomic Pathology & Clinical Pathology CurrentSince Dec 1, 2012 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.