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

Q: 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.

Q: 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.

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: August 02, 2026.

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

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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

Phone(404) 537-2521

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

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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

Other Providers at the Same Location NPPES 8

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

MICHAEL C. MARTIN PA-C

Physician Assistant (Medical)