Jacqueline Sequoia, M.D., M.P.H., M.A.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

067438 Issued in GA

Practice address

340 Exchange Blvd
Bethlehem, GA 30620-1759

Phone

(706) 413-4500

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1982925202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 AIKEN MALL DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037689",
            "telephone_number": "803-648-1464",
            "fax_number": "803-649-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EXCHANGE BLVD",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306201759",
            "telephone_number": "706-413-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Aiken Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298037689",
            "country_code": "US",
            "telephone_number": "803-648-1464",
            "fax_number": "803-649-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEQUOIA",
        "first_name": "JACQUELINE",
        "credential": "M.D., M.P.H., M.A.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "067438",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "067438",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "34378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rooted in Real Wellness, LLC
• John Michael Rutledge, PA
• Douglas Errol Sands Jr., OT
• Amanda D Sarabia
• Jessica Wallace Saville, DPT, PT
• Manan I Shah, MD
• David Sheets, DDS
• Allison Shoupe, PHARM D
• Jennifer Ann Simpson, RNFA, CNOR
• Sleep Elite LLC

• Family Medicine Physician in Bethlehem, GA
• Providers in Bethlehem, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.