MRS. DIANA SPOCK ADEBULEHIN P.A.-C.
NPI 1700965159
Physician Assistant - Surgical in Decatur, GA

Q: What is Diana Adebulehin's NPI number?

The NPI number for Diana Adebulehin is 1700965159. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is Diana Adebulehin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Diana Adebulehin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 06, 2006PECOS Enrolled

1014 SYCAMORE DR, STE. B, DECATUR, GA 30030(404) 299-1700(404) 299-1616 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Diana Spock Adebulehin P.a.-c. NPPES

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

MRS. DIANA SPOCK ADEBULEHIN P.A.-C. (NPI 1700965159) is an individual surgical provider in Decatur, Georgia, licensed in Georgia (004458) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700965159

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. DIANA SPOCK ADEBULEHINCredential: P.A.-C.

Location Address1014 SYCAMORE DR, STE. BDecatur, GA 30030-1644

Mailing Address200 Ivy Glen CirAvondale Estates, GA 30002-1766 · (404) 550-5590 · Fax (404) 299-1616

Phone(404) 299-1700

Fax(404) 299-1616

Sole ProprietorNo

Enumeration DateNovember 6, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1700965159 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 in GA · 004458

1014 SYCAMORE DR, Decatur, GA 30030

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Other Identifiers 1

Medicare UPINQ36432GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Diana Spock Adebulehin P.a.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. THOMAS PAUL BRANCH M.D.

Orthopaedic Surgery (Sports Medicine)

1014 SYCAMORE DR, STE. B
DECATUR, GA 30030

Dekalb County (404) 299-1700

ALEXANDRA MORAN MPT

Physical Therapist (Orthopedic)

1014 SYCAMORE DR, SUITE A
DECATUR, GA 30030

Dekalb County (404) 299-6060

MONAL, LLC

Physician Assistant (Medical)

1014 SYCAMORE DR, SUITE B
DECATUR, GA 30030

Dekalb County (404) 299-1700

GARY ANTHONY RUDOLPH BOWEN PA-C

Physician Assistant

1014 SYCAMORE DR, SUITE B
DECATUR, GA 30030

Dekalb County (404) 480-4229

AMANDA LAUREN DEMPSEY MD

Orthopaedic Surgery (Hand Surgery)

1014 SYCAMORE DR, SUITE B
DECATUR, GA 30030

Dekalb County (404) 299-1700

MR. COREY DARNELL BENNETT MS, ATC, LAT, CFO

Specialist/Technologist (Athletic Trainer)

1014 SYCAMORE DR, STE. B
DECATUR, GA 30030

Dekalb County (404) 299-1700

MRS. ASHLEY VANCE KIRK ATC

Specialist/Technologist (Athletic Trainer)

1014 SYCAMORE DR, STE B
DECATUR, GA 30030

Dekalb County (404) 299-1700

AICA ORTHOPEDICS P.C.

Clinic/Center

1014 SYCAMORE DR
DECATUR, GA 30030

Dekalb County (678) 701-2225

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 Diana Adebulehin's NPI number?

The NPI number for Diana Adebulehin is 1700965159. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Diana Adebulehin located?

Diana Adebulehin practices at 1014 Sycamore Dr Ste. B, Decatur, GA 30030. The listed phone number is (404) 299-1700.

What is Diana Adebulehin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Diana Adebulehin enrolled in Medicare?

Yes. Diana Adebulehin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Adebulehin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.