PONCE PREVENTIVE CARE LLC
NPI 1477865681
Clinic/Center - Primary Care in Decatur, GA

Active since July 06, 2010
315 W PONCE DE LEON AVE STE 110, DECATUR, GA 30030(404) 537-2521(844) 246-7292 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2024, Nov 18, 2022 (2 updates tracked since 2022).

About Ponce Preventive Care Llc NPPES

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

PONCE PREVENTIVE CARE LLC (NPI 1477865681) is a healthcare organization registered as a primary care in Decatur, Georgia and active in the NPI registry since July 2010. The organization lists Rosa Figueroa, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1477865681
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePONCE PREVENTIVE CARE LLC
Location Address315 W PONCE DE LEON AVE STE 110Decatur, GA 30030-2441
Mailing Address315 W Ponce De Leon Ave Ste 110Decatur, GA 30030-2441 · (404) 537-2521 · Fax (844) 246-7292
Fax(844) 246-7292
Organization SubpartNo
Authorized OfficialRosa FigueroaPractice Administrator · (404) 537-2521
Enumeration DateJuly 6, 2010
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1477865681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 054263
Also ListedFamily MedicineTaxonomy 207Q00000X
315 W PONCE DE LEON AVE STE 110, Decatur, GA 30030

Other Names 1

Former Legal Business NamePonce Preventive Care Llc

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ponce Preventive Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Ponce Preventive Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner8
Family Practice4

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1740612985
315 W PONCE DE LEON AVE STE 110
Decatur, GA 30030
(770) 312-3562
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780880823
315 W PONCE DE LEON AVE STE 110
Decatur, GA 30030
(404) 537-2521
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700832011
315 W PONCE DE LEON AVE STE 110
Decatur, GA 30030
(404) 371-9673
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1831530559
315 W PONCE DE LEON AVE STE 110
Decatur, GA 30030
(404) 537-2521
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1841961307
315 W PONCE DE LEON AVE STE 110
Decatur, GA 30030
(404) 537-2521
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1114424124
402 W PONCE DE LEON AVE
Decatur, GA 30030
(404) 537-2521
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1922608678
402 W PONCE DE LEON AVE
Decatur, GA 30030
(404) 537-2521
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1902168610
619 RANKIN ST NE
Atlanta, GA 30308
(404) 874-3102
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1649661539
5461 MERIDIAN MARK RD STE 570
Atlanta, GA 30342
(404) 785-6895
✔ PECOS✔ Accepts Medicare9.4 mi
Family Practice
NPI 1245508480
1240 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
(770) 389-3855
✔ PECOS19 mi
Nurse Practitioner
NPI 1134670078
7901 4TH ST N STE 300
St Petersburg, FL 33702
(404) 926-6114
✔ PECOS420 mi
Nurse Practitioner
NPI 1124584784
8705 E MCDOWELL RD
Scottsdale, AZ 85257
(480) 882-4545
✔ PECOS✔ Accepts Medicare1,586 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 Ponce Preventive Care LLC's NPI number?

The NPI number for Ponce Preventive Care LLC is 1477865681. It was assigned to this organization in the NPPES registry on July 6, 2010.

Where is Ponce Preventive Care LLC located?

Ponce Preventive Care LLC is located at 315 W Ponce De Leon Ave Ste 110, Decatur, GA 30030. The listed phone number is (404) 537-2521.

What is Ponce Preventive Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Ponce Preventive Care LLC enrolled in Medicare?

Yes. Ponce Preventive Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ponce Preventive Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Ponce Preventive Care LLC. 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. The largest specialties are Nurse Practitioner (8) and Family Practice (4). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ponce Preventive Care LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ponce Preventive Care LLC 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 Ponce Preventive Care LLC was last updated on May 6, 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.