SUPREME HEALTHCARE OB/GYN LLC
NPI 1639552649
Specialist in Decatur, GA

Q: What is Supreme Healthcare Ob/Gyn LLC's NPI number?

The NPI number for Supreme Healthcare Ob/Gyn LLC is 1639552649. It was assigned to this organization in the NPPES registry on July 8, 2015.

Q: What is Supreme Healthcare Ob/Gyn LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 08, 2015

5536 FLAT SHOALS PKWY, SUITE A, DECATUR, GA 30034(678) 518-9691(678) 518-9692 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Supreme Healthcare Ob/gyn Llc NPPES

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

SUPREME HEALTHCARE OB/GYN LLC (NPI 1639552649) is a healthcare organization registered as a specialist in Decatur, Georgia and active in the NPI registry since July 2015. The organization lists Kimar Dunn, Assistant Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1639552649

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSUPREME HEALTHCARE OB/GYN LLC

Location Address5536 FLAT SHOALS PKWY, SUITE ADecatur, GA 30034-5408

Mailing Address5536 Flat Shoals Pkwy, Suite ADecatur, GA 30034-5408 · (678) 518-9691 · Fax (678) 518-9692

Phone(678) 518-9691

Fax(678) 518-9692

Organization SubpartNo

Authorized OfficialKimar DunnAssistant Practice Manager · (678) 518-9691

Enumeration DateJuly 8, 2015

✔ NPI 1639552649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 57621

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5536 FLAT SHOALS PKWY, Decatur, GA 30034

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Supreme Healthcare Ob/Gyn LLC's NPI number?

The NPI number for Supreme Healthcare Ob/Gyn LLC is 1639552649. It was assigned to this organization in the NPPES registry on July 8, 2015.

Where is Supreme Healthcare Ob/Gyn LLC located?

Supreme Healthcare Ob/Gyn LLC is located at 5536 Flat Shoals Pkwy Suite A, Decatur, GA 30034. The listed phone number is (678) 518-9691.

What is Supreme Healthcare Ob/Gyn LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Supreme Healthcare Ob/Gyn LLC was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.