SOUTH DEKALB PRIMARY CARE, PC
NPI 1063538924
Clinic/Center - Health Service in Decatur, GA
About South Dekalb Primary Care, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH DEKALB PRIMARY CARE, PC (NPI 1063538924) is a healthcare organization registered as a health service in Decatur, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Lisa Welch, Direct Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0722490
South Dekalb Primary Care PC · Decatur, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 South Dekalb Primary Care, PC's NPI number?
The NPI number for South Dekalb Primary Care, PC is 1063538924. It was assigned to this organization in the NPPES registry on March 22, 2007.
Where is South Dekalb Primary Care, PC located?
South Dekalb Primary Care, PC is located at 1290 Columbia Dr, Decatur, GA 30032. The listed phone number is (404) 289-1952.
What is South Dekalb Primary Care, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Does South Dekalb Primary Care, PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0722490) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Dekalb Primary Care, PC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Dekalb Primary Care, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Dekalb Primary Care, PC was last updated on November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# South Dekalb Primary Care, Pc · NPI 1063538924
Health Service organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1063538924 (Entity type: Organization)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Lisa Welch, DIRECT OWNER
## Practice location
- **Address:** 1290 COLUMBIA DR, Decatur, GA 30032-2824
- **Phone:** (404) 289-1952 · **Fax:** (404) 289-1953
## Record status
- **NPPES last updated:** November 25, 2015
- **Other identifiers:** Other 156445 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063538924) · Data from the CMS NPPES public registry.