1. Home
  2. Directory
  3. Georgia
  4. Acworth
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since July 12, 2024
5330 BROOKSTONE DR NW STE 801011, ACWORTH, GA 30101(678) 481-1647 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Dec 16, 2025, Oct 11, 2025 and 1 more (4 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 Acworth, 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 Address5330 BROOKSTONE DR NW STE 801011Acworth, GA 30101-7183
Mailing Address5330 Brookstone Dr Nw Ste 801011Acworth, GA 30101-7183 · (678) 481-1647
Phone(678) 481-1647
Sole ProprietorYes
Enumeration DateJuly 12, 2024
Last NPPES UpdateOctober 26, 20264 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ 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
5330 BROOKSTONE DR NW STE 801011, Acworth, GA 30101
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

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

OASIS SURGICAL ASSISTANTS LLC
Surgery
5330 BROOKSTONE DR NW STE 801011
ACWORTH, GA 30101
Cobb County (678) 481-1647
OASIS SURGICAL ASSOCIATES LLC
Surgery
5330 BROOKSTONE DR NW STE 801011
ACWORTH, GA 30101
Cobb County (678) 481-1647
MR. NATHANAEL SHANE HORNSBY CSFA
Physician Assistant (Surgical)
5330 BROOKSTONE DR NW STE 801011
ACWORTH, GA 30101
Cobb County (678) 481-1647
HALLI E SELMAN CSFA
Physician Assistant (Surgical)
5330 BROOKSTONE DR NW STE 801011
ACWORTH, GA 30101
Cobb County (678) 481-1647
ASHLEIGH SCHININA CSFA
Specialist/Technologist, Other (Surgical Assistant)
5330 BROOKSTONE DR NW STE 801011
ACWORTH, GA 30101
Cobb County (678) 481-1647
BRIDGETTE DENISE WOKAL SA-C
Specialist/Technologist, Other (Surgical Assistant)
5330 BROOKSTONE DR NW STE 801011
ACWORTH, GA 30101
Cobb County (678) 481-1647
MRS. JACKIE LYNN SCHUMAKER CSFA
Physician Assistant (Surgical)
5330 BROOKSTONE DR NW STE 801011
ACWORTH, GA 30101
Cobb County (678) 481-1647
TAMARI LIGHTFOOT CSFA
Physician Assistant (Surgical)
5330 BROOKSTONE DR NW STE 801011
ACWORTH, GA 30101
Cobb 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 5330 Brookstone Dr NW Ste 801011, Acworth, GA 30101. 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 October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.