OrganizationActive
Southeast Podiatry
NPI 1154568582 · Clinic/Center · Marietta, GA
Provider details
- NPI number
- 1154568582
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Suzanne Clous, Podiatrist(770) 852-7035
- License
- POD001011 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3225 Shallowford Rd
Suite 200
Marietta, GA 30062-1266
Phone: (770) 675-7904
Fax: (770) 675-7906
Street-level locationGet directions
Mailing address
3225 Shallowford Rd
Marietta, GA 30062-1266
Registry dates
- Enumerated
- 2009-01-07
- Last updated
- 2014-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.