DEKALB GPO LLC (NPI# 1538586995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538586995 |
| Entity Type | Organization |
| Organization Name | DEKALB GPO LLC |
| Practice Address |
2801 N Decatur Rd Suite 200 Decatur GA 30033-5949 |
| Practice Telephone | 4042965005 |
| Practice Fax Number | 4042969417 |
| Mailing Telephone | 4042965005 |
| Mailing Fax Number | 4042969417 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Authorized Official Name | BRIAN PALLONE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4042965005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2801 N DECATUR RD SUITE 200 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471728 | Atlanta Center for Medicine II PC | Clinic/Center | 2801 N Decatur Rd, Suite 300, Decatur, GA 30033-5949 | 2005-07-20 |
| 1104339324 | Oms, LLC | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2017-11-09 |
| 1972021962 | Omid Midanaky | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2017-08-30 |
| 1780130120 | Margaret Claire Layman | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2016-08-26 |
| 1386020188 | Katherine Moise | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2015-08-04 |
| 1487039673 | Alig Orthopedics LLC | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2015-07-29 |
| 1558741207 | Patricio Morchio | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2015-06-08 |
| 1164816104 | Christine Chang | Family Medicine | 2801 N Decatur Rd, Decatur, GA 30033 | 2015-03-27 |
| 1982093480 | Southeastern Orthopedic Surgical Pa, LLC | Physician Assistant | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2015-01-21 |
| 1205278025 | Samuel Gillespie | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2013-07-22 |
| 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 | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617036 | Matthew Charles Revilla | Family Medicine | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-04-09 |
| 1629586946 | Ashley Ferguson | Family Medicine | 330 N Wyckles Rd, Decatur, IL 62522-1034 | 2018-01-22 |
| 1033498118 | Syed Zia Ullah | Family Medicine | 2536 Lawrenceville Hwy, Decatur, GA 30033-3227 | 2011-08-08 |
| 1457473795 | Healing Innovations, P.C. | Family Medicine | 5040 Snapfinger Woods Dr, Suite 201, Decatur, GA 30035-4020 | 2007-04-06 |
| 1376665463 | Family Care Centers Trust | Family Medicine | 1045 Sycamore Dr, Adminstration, Decatur, GA 30030-1645 | 2007-04-06 |
| 1477672640 | Family Care Centers Trust | Family Medicine | 1045 Sycamore Dr, Decatur, GA 30030-1645 | 2007-03-28 |
| 1689737603 | Primary Medical Care Group | Family Medicine | 5322 Snapfinger Park Dr, Decatur, GA 30035-4040 | 2006-12-19 |
| 1942373089 | Song Yol Yu | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2006-11-16 |
| 1609880160 | Shainul K Bhatia | Family Medicine | 1045 Sycamore Dr, Decatur, GA 30030-1645 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464250 | Leah Reed | Family Medicine | 2082 Cherokee Farms Cv, Buford, GA 30519-7004 | 2020-07-08 |
| 1083240766 | Carehere LLC | Family Medicine | 114 N Jackson St, Albany, GA 31701-2583 | 2020-03-13 |
| 1518590744 | Octavia Raquel Holloway-freeman | Family Medicine | 301 Denmark St, Statesboro, GA 30458-5208 | 2020-02-17 |
| 1891331575 | Jenna Barnes | Family Medicine | 1107 Memorial Dr Ste 300, Dalton, GA 30720-8664 | 2019-11-18 |
| 1023651205 | Carehere LLC | Family Medicine | 750 S Perry St Ste 200, Lawrenceville, GA 30046-4804 | 2019-10-21 |
| 1003385733 | James G Hamilton Jr Md LLC | Family Medicine | 4898 Highway 197, Mount Airy, GA 30563-2442 | 2018-11-26 |
| 1780161323 | Personal Wellness Inc. | Family Medicine | 625 Boxwood Ter, Johns Creek, GA 30005-7217 | 2018-07-26 |
| 1073005138 | Lake Oconee Wellness Associates LLC | Family Medicine | 1097 Lake Oconee Pkwy Ste 201, Eatonton, GA 31024-9510 | 2018-06-05 |
| 1376034983 | Lee Pennington Mcnichols | Family Medicine | 2300 Bethelview Rd Ste 110-332, Cumming, GA 30040-9475 | 2018-05-21 |
| 1972021301 | Docpecox, LLC | Family Medicine | 755 Mount Vernon Hwy Ne Ste 350, Atlanta, GA 30328-4291 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
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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.