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KELLY ELIZABETH DECKER CSFA
NPI 1144067570
Physician Assistant - Surgical in Dallas, GA

Active since July 12, 2024
10175 DALLAS ACWORTH HWY STE 103-14, DALLAS, GA 30132(678) 481-1647(770) 336-6620 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2025, Oct 11, 2025, Jul 12, 2024 (3 updates tracked since 2024).

About Kelly Elizabeth Decker Csfa NPPES

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

KELLY ELIZABETH DECKER CSFA (NPI 1144067570) is an individual surgical provider in Dallas, Georgia, licensed in (126764) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1144067570
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELLY ELIZABETH DECKERCredential: CSFA
Location Address10175 DALLAS ACWORTH HWY STE 103-14Dallas, GA 30132-9300
Mailing Address10175 Dallas Acworth Hwy Ste 103-14Dallas, GA 30132-9300 · (678) 481-1647 · Fax (770) 336-6620
Phone(678) 481-1647
Fax(770) 336-6620
Sole ProprietorYes
Enumeration DateJuly 12, 2024
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1144067570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed · 126764
10175 DALLAS ACWORTH HWY STE 103-14, Dallas, GA 30132
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OASIS SURGICAL ASSISTANTS LLC
Surgery
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 758-8164
OASIS SURGICAL ASSOCIATES LLC
Surgery
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
MR. NATHANAEL SHANE HORNSBY CSFA
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
HALLI E SELMAN CSFA
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
ASHLEIGH SCHININA CSFA
Specialist/Technologist, Other (Surgical Assistant)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
BRIDGETTE DENISE WOKAL SA-C
Specialist/Technologist, Other (Surgical Assistant)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
MRS. JACKIE LYNN SCHUMAKER CSFA
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
CHRISTEN MICHELLE BENTON CSFA, CST, BA
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647

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 Kelly Decker's NPI number?

The NPI number for Kelly Decker is 1144067570. It was assigned to this individual provider in the NPPES registry on July 12, 2024.

Where is Kelly Decker located?

Kelly Decker practices at 10175 Dallas Acworth Hwy Ste 103-14, Dallas, GA 30132. The listed phone number is (678) 481-1647.

What is Kelly Decker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kelly Decker was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.