SOUTHEAST PODIATRY
NPI 1154568582
Clinic/Center in Marietta, GA

NPI Status: Active since January 07, 2009

Contact Information

3225 SHALLOWFORD RD
SUITE 200
MARIETTA, GA
ZIP 30062
Phone: (770) 675-7904
Fax: (770) 675-7906

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  • Organization
  • Clinic/Center

About SOUTHEAST PODIATRY

This page provides the complete NPI Profile along with additional information for Southeast Podiatry, a provider established in Marietta, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1154568582 assigned on January 2009. The practitioner's primary taxonomy code is 261Q00000X with license number POD001011 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Suzanne Marie Clous D.p.m. (Podiatrist)

NPI
1154568582
Provider Name
SOUTHEAST PODIATRY
Entity Type
Organization
Location Address
3225 SHALLOWFORD RD SUITE 200 MARIETTA, GA 30062
Location Phone
(770) 675-7904
Location Fax
(770) 675-7906
Mailing Address
3225 SHALLOWFORD RD SUITE 200 MARIETTA, GA 30062
Mailing Phone
(770) 675-7904
Mailing Fax
(770) 675-7906
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2009
Last Update Date
11-19-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
POD001011
License State
GA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1335E00000XSuppliers

Prosthetic/Orthotic Supplier

POD001011 (GA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SUZANNE MARIE CLOUS D.P.M.

Authorized Official Title
PODIATRIST
Authorized Official Phone
(770) 852-7035

Reviews for SOUTHEAST PODIATRY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154568582, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 0 + 6 + 1 + 6 + 5 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154568582.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Pediatrics
3225 SHALLOWFORD RD, BLDG 1300
MARIETTA, GA 30062
Nurse Practitioner (Family)
3225 SHALLOWFORD RD, BUILDING 1300
MARIETTA, GA 30062
Pediatrics
3225 SHALLOWFORD RD, SUITE1300
MARIETTA, GA 30062
Chiropractor
3225 SHALLOWFORD RD
MARIETTA, GA 30062
Nurse Practitioner (Pediatrics)
3225 SHALLOWFORD RD, 1300
MARIETTA, GA 30062
Chiropractor
3225 SHALLOWFORD RD, STE 700
MARIETTA, GA 30062
Speech-Language Pathologist
3225 SHALLOWFORD RD, BLDG 1100, STE 1120
MARIETTA, GA 30062
Speech-Language Pathologist
3225 SHALLOWFORD RD, BLDG 1100, STE 1120
MARIETTA, GA 30062
Nurse Practitioner (Family)
3225 SHALLOWFORD RD
MARIETTA, GA 30062
Counselor (Mental Health)
3225 SHALLOWFORD RD, STE 710
MARIETTA, GA 30062
Counselor (Mental Health)
3225 SHALLOWFORD RD, SUITE 710
MARIETTA, GA 30062
Speech-Language Pathologist
3225 SHALLOWFORD RD, BLDG 1100, STE 1120
MARIETTA, GA 30062
Counselor (Professional)
3225 SHALLOWFORD RD, SUITE 710
MARIETTA, GA 30062
Psychiatry & Neurology (Psychiatry)
3225 SHALLOWFORD RD, BUILDING 1300
MARIETTA, GA 30062
Psychiatry & Neurology (Psychiatry)
3225 SHALLOWFORD RD
MARIETTA, GA 30062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154568582, enumerated as an "organization" on January 07, 2009.

The provider is located at 3225 SHALLOWFORD RD SUITE 200 MARIETTA, GA 30062 and the phone number is (770) 675-7904.

Clinic/Center with taxonomy code 261Q00000X.