DEKALB MEDICAL SPECIALTY CARE GROUP LLC (NPI# 1063663037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063663037 |
| Entity Type | Organization |
| Organization Name | DEKALB MEDICAL SPECIALTY CARE GROUP LLC |
| Practice Address |
2701 N Decatur Rd Decatur GA 30033-5918 |
| Practice Telephone | 4045013870 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | DR. DUANE BARCLAY (ADMINISTRATOR) |
| Authorized Official Telephone | 4045015215 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | DEKALB MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
2701 N DECATUR RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900697 | Steve M Covington IIi | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2005-05-24 |
| 1275142473 | Jeanne Marie Louise Mirbey | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-24 |
| 1639787708 | Erin Marie Webb | Registered Nurse | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-15 |
| 1730705112 | Amitha Dhingra LLC | Psychiatry & Neurology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-06-22 |
| 1154941714 | John C Haight | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-23 |
| 1871113787 | Chandler Ligas | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-21 |
| 1992334973 | Hannah R Schneiders | Student in an Organized Health Care Education/Training Program | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-02 |
| 1740818814 | Valerie Lynn Rouse Beliard | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-01 |
| 1134757529 | Daniel Dunlap | Physician Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-03-31 |
| 1730714189 | Skye Elizabeth Criswell | Registered Nurse | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912140401 | Sonya M Soliman | Psychiatry & Neurology | 1215 7th St Se Ste 260, Decatur, AL 35601-3399 | 2009-04-13 |
| 1356418586 | Douglas James Dove | Psychiatry & Neurology | Two Memorial Drive, Suite 200, Decatur, IL 62526-1590 | 2006-11-30 |
| 1104835412 | Sherry A Reid | Psychiatry & Neurology | 1770 E Lake Shore Dr Lowr Ll1, Decatur, IL 62521-3832 | 2006-08-05 |
| 1689608218 | Michael Ashley Norman | Psychiatry & Neurology | 2665 North Decatur Rd, Ste 630, Decatur, GA 30033-4167 | 2006-07-10 |
| 1992738637 | Neurology and Headache Specialists of Atl, LLC | Psychiatry & Neurology | 2665 North Decatur Road, Ste 630, Decatur, GA 30033-4167 | 2006-07-08 |
| 1417948415 | Allied Physicians Inc., D/b/a Fort Wayne Neurololgy | Psychiatry & Neurology | 815 High St, Suite A, Decatur, IN 46733-2351 | 2005-10-31 |
| 1639170095 | Eston Gibbons Norwood IIi | Psychiatry & Neurology | 1215 7th St Se, #260, Decatur, AL 35601-3304 | 2005-08-09 |
| 1508869116 | Muhammad Naeem | Psychiatry & Neurology | 2351 S Fm 51 Ste 100, Decatur, TX 76234-3778 | 2005-05-27 |
| 1144691908 | Decatur Morgan Neurology | Psychiatry & Neurology | 1215 7th St Se, Suite 260, Decatur, AL 35601-3337 | 2015-10-19 |
| 1457722209 | Intensive Neuromonitoring LLC | Psychiatry & Neurology | 2152 Spring Creek Rd, Decatur, GA 30033-2608 | 2015-10-19 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.