NPIMap

Organization Active NPI

Flat Shoals Foot & Ankle Center, LLC

  • Foot Surgery Podiatrist
  • Decatur, GA
National Provider Identifier
1487978763
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
POD000952 Issued in GA
Legal business name
FLAT SHOALS FOOT & ANKLE CENTER, LLC
Practice address
2855 Candler Rd
Ste 6
Decatur, GA 30034-1415
Phone
(404) 241-7400
Fax
(404) 241-7475
NPI assigned
Mar 16, 2010
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Suzette Andrean Clements, DPMNPI 1003846718
Title
Owner
Phone
(404) 455-2804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X POD000952 GA Primary

Addresses

Primary practice location

2855 Candler Rd
Ste 6
Decatur, GA 30034-1415

Mailing address

2855 Candler Rd
Ste 6
Decatur, GA 30034-1415
Phone (404) 241-7400

National Provider Directory

National Provider Directory
Tax ID family
Flat Shoals Foot and Ankle Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1487978763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 CANDLER RD",
            "address_2": "STE 6",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341415",
            "telephone_number": "404-241-7400",
            "fax_number": "404-241-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CANDLER RD",
            "address_2": "STE 6",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341415",
            "telephone_number": "404-241-7400",
            "fax_number": "404-241-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAT SHOALS FOOT & ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "ANDREAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-455-2804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "POD000952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.