REAGIN DECATUR GROUP, LLC (NPI# 1770002693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770002693 |
| Entity Type | Organization |
| Organization Name | REAGIN DECATUR GROUP, LLC |
| Other Organization Name | REAGIN OPTOMETRIC GROUP |
| Practice Address |
104 Church St Decatur GA 30030-3325 |
| Practice Telephone | (404) 378-3694 |
| Mailing Telephone | 4043783694 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Authorized Official Name | GAVIN MEYERS (VP) |
| Authorized Official Telephone | 9175759256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Reagin Optometric Group | Doing Business As Name - Organization |
| Street Address |
104 CHURCH ST |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801832258 | Thomas Gaby Reagin | Optometrist | 104 Church St, Decatur, GA 30030-3325 | 2006-06-22 |
| 1023431350 | Lindsay Johnson Marshburn | Optometrist | 104 Church St, Decatur, GA 30030-3325 | 2014-01-22 |
| 1861772980 | Desiree Stryker | Optometrist | 104 Church St, Decatur, GA 30030-3325 | 2011-08-19 |
| 1851606271 | Kristy Lee Bain | Optometrist | 104 Church St, Decatur, GA 30030-3325 | 2010-08-10 |
| 1447391594 | Reagin Optometric Group, P.a. | Optometrist | 104 Church St, Decatur, GA 30030-3325 | 2007-02-10 |
| 1679653174 | Richard Stephen Reagin | Optometrist | 104 Church St, Decatur, GA 30030-3325 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
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| 1205857828 | County of Macon | Clinic/Center | 1221 E Condit St, Decatur, IL 62521-1405 | 2006-07-21 |
| 1679116230 | Green Squared | Clinic/Center | 2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 | 2019-10-25 |
| 1982170759 | Nikichia Butler | Clinic/Center | 5040 Snapfinger Woods Dr Ste 201c, Decatur, GA 30035-4020 | 2018-10-19 |
| 1063942886 | Atlanta Holistic Health Center | Clinic/Center | 320 Winn Way Ste 101, Decatur, GA 30030-2106 | 2017-06-14 |
| 1346401775 | Tao Chiro LLC | Clinic/Center | 2545 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-3239 | 2008-06-18 |
| 1447459540 | Thomas Rohde, M.d., Ltd | Clinic/Center | 3798 E Fulton Ave, Decatur, IL 62521-5053 | 2007-07-17 |
| 1063538924 | South Dekalb Primary Care, PC | Clinic/Center | 1290 Columbia Dr, Decatur, GA 30032-2824 | 2007-03-22 |
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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.