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WHOLE FAMILY MEDICINE, LLC
NPI 1053589481
Family Medicine in Decatur, GA

Active since February 19, 2008
402 W PONCE DE LEON AVE, DECATUR, GA 30030(404) 377-9010(404) 935-0254 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2024, Oct 16, 2023, Jan 29, 2023 (3 updates tracked since 2023).

About Whole Family Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHOLE FAMILY MEDICINE, LLC (NPI 1053589481) is a healthcare organization registered as a family medicine in Decatur, Georgia and active in the NPI registry since February 2008. The organization lists Marion Kaylor Owen, President, as its authorized official.

NPPES Registry Identity

NPI1053589481
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWHOLE FAMILY MEDICINE, LLC
Location Address402 W PONCE DE LEON AVEDecatur, GA 30030-2443
Mailing Address402 W Ponce De Leon AveDecatur, GA 30030-2443 · (404) 377-9010 · Fax (404) 935-0254
Phone(404) 377-9010
Fax(404) 935-0254
Organization SubpartNo
Authorized OfficialMarion Kaylor OwenPresident · (404) 395-7845
Enumeration DateFebruary 19, 2008
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1053589481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
402 W PONCE DE LEON AVE, Decatur, GA 30030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whole Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Whole Family Medicine, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Susan Castle, FNP-C
Nurse Practitioner
NPI 1083858716
402 W PONCE DE LEON AVE
Decatur, GA 30030
(404) 377-9010
✔ PECOS✔ Accepts Medicare0.3 mi
Marion Owen, M.D.
Family Practice
NPI 1376586347
402 W PONCE DE LEON AVE
Decatur, GA 30030
(404) 377-9010
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whole Family Medicine, LLC's NPI number?

The NPI number for Whole Family Medicine, LLC is 1053589481. It was assigned to this organization in the NPPES registry on February 19, 2008.

Where is Whole Family Medicine, LLC located?

Whole Family Medicine, LLC is located at 402 W Ponce De Leon Ave, Decatur, GA 30030. The listed phone number is (404) 377-9010.

What is Whole Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Whole Family Medicine, LLC enrolled in Medicare?

Yes. Whole Family Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Whole Family Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Whole Family Medicine, LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Whole Family Medicine, LLC was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.