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DEKALB FAMILY PRACTICE, P.C.
NPI 1255584744
Family Medicine in Stone Mountain, GA

Active since October 28, 2008
5462 MEMORIAL DR, SUITE 202, STONE MOUNTAIN, GA 30083(404) 292-5676(404) 299-8657 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dekalb Family Practice, P.c. NPPES

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

DEKALB FAMILY PRACTICE, P.C. (NPI 1255584744) is a healthcare organization registered as a family medicine in Stone Mountain, Georgia and active in the NPI registry since October 2008. The organization lists Edward Alvin Corkran, President, as its authorized official.

NPPES Registry Identity

NPI1255584744
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEKALB FAMILY PRACTICE, P.C.
Location Address5462 MEMORIAL DR, SUITE 202Stone Mountain, GA 30083-3239
Mailing Address5462 Memorial Dr, Suite 202Stone Mountain, GA 30083-3239 · (404) 292-5676 · Fax (404) 299-8657
Phone(404) 292-5676
Fax(404) 299-8657
Organization SubpartNo
Authorized OfficialEdward Alvin CorkranPresident · (404) 292-5676
Enumeration DateOctober 28, 2008
✔ NPI 1255584744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 030034
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.
5462 MEMORIAL DR, Stone Mountain, GA 30083
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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

Other Providers at the Same Location NPPES 11

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

MRS. YVONNE M MCNEIL SLP
Speech-Language Pathologist
5462 MEMORIAL DR, SUITE 203
STONE MTN, GA 30083
Dekalb County (404) 297-9330
DEKALBPHYSICAL THERAPY
Physical Therapist
5462 MEMORIAL DR, SUITE 203
STONE MTN, GA 30083
Dekalb County (770) 491-1353
MRS. TRAN B. TRIVEDI NP-C
Nurse Practitioner (Family)
5462 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 292-5676
DR. EDWARD A CORKRAN D.O.
Family Medicine
5462 MEMORIAL DR, SUITE 202
STONE MOUNTAIN, GA 30083
Dekalb County (404) 292-5676
DR. CHARLES ANDREW MOORE DMD
Dentist
5462 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 299-0022
MIRA KALMAN SIVAN OD
Optometrist
5462 MEMORIAL DR, SUITE 101
STONE MOUNTAIN, GA 30083
Dekalb County (404) 296-6000
DR. ISRAEL J CABANAS JR.
Family Medicine
5462 MEMORIAL DR, SUITE 202
STONE MOUNTAIN, GA 30083
Dekalb County (404) 292-5676
GEORGIA REHABILITATION ASSOCIATES, INC.
Physical Therapist
5462 MEMORIAL DR, SUITE 203
STONE MOUNTAIN, GA 30083
Dekalb County (404) 297-9330

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 Dekalb Family Practice, P.C.'s NPI number?

The NPI number for Dekalb Family Practice, P.C. is 1255584744. It was assigned to this organization in the NPPES registry on October 28, 2008.

Where is Dekalb Family Practice, P.C. located?

Dekalb Family Practice, P.C. is located at 5462 Memorial Dr Suite 202, Stone Mountain, GA 30083. The listed phone number is (404) 292-5676.

What is Dekalb Family Practice, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Dekalb Family Practice, P.C. was last updated on October 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.