1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

ICFMR AT GEORGIA REGIONAL HOSPITAL ATLANTA
NPI 1841328135
Intermediate Care Facility, Intellectual Disabilities in Decatur, GA

Active since March 01, 2007
3073 PANTHERSVILLE ROAD, DECATUR, GA 30034(404) 243-2158(404) 243-2159 Get Directions Write a Review

NPPES record last updated: August 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Icfmr At Georgia Regional Hospital Atlanta NPPES

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

ICFMR AT GEORGIA REGIONAL HOSPITAL ATLANTA (NPI 1841328135) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Decatur, Georgia and active in the NPI registry since March 2007. The organization lists Sonny Slate, Chief Operation Officer, as its authorized official.

NPPES Registry Identity

NPI1841328135
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameICFMR AT GEORGIA REGIONAL HOSPITAL ATLANTA
Location Address3073 PANTHERSVILLE ROADDecatur, GA 30034-3828
Mailing AddressP.o. Box 370407Decatur, GA 30034-3828 · (404) 243-2158 · Fax (404) 243-2159
Phone(404) 243-2158
Fax(404) 243-2159
Organization SubpartNo
Authorized OfficialSonny SlateChief Operation Officer · (404) 243-2121
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 18, 2009
✔ NPI 1841328135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in GA · 2044856
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
3073 PANTHERSVILLE ROAD, Decatur, GA 30034
Open in Google Maps ↗

Other Identifiers 1

Medicaid00141061AGA

Other Providers at the Same Location NPPES 10

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

MS. DENE RUTH BELLAMY CNS/PMH-NP
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
3073 PANTHERSVILLE ROAD
DECATUR, GA 30034
Dekalb County (404) 243-2281
SCOTT JOHN SCHOENHERR PHD
Psychologist (Clinical)
3073 PANTHERSVILLE ROAD, PATIENT ACCOUNTS OFFICE
DECATUR, GA 30034
Dekalb County (404) 243-2100
DONALD W SMITH PHD
Psychologist (Clinical)
3073 PANTHERSVILLE ROAD
DECATUR, GA 30034
Dekalb County (404) 212-5454
SKILLED NURSING FACILITY GRHA
Skilled Nursing Facility
3073 PANTHERSVILLE ROAD
DECATUR, GA 30034
Dekalb County (770) 212-5454
GA DEPARTMENT OF HUMAN RESOURCES
Psychiatric Hospital
3073 PANTHERSVILLE ROAD
DECATUR, GA 30034
Dekalb County (404) 243-2158
STEVEN C STOUT MD PHD
Psychiatry & Neurology (Psychiatry)
3073 PANTHERSVILLE ROAD, PATIENT ACCOUNTS
DECATUR, GA 30034
Dekalb County (404) 212-5454
KATINA M NEW FNP-C
Nurse Practitioner
3073 PANTHERSVILLE ROAD, MEDICAL CLINIC
DECATUR, GA 30034
Dekalb County (404) 212-4658
GEORGIA REGIONAL HOSPITAL PHARMACY
Pharmacy
3073 PANTHERSVILLE ROAD, PATIENT ACCOUNTS OFFICE
DECATUR, GA 30034
Dekalb County (404) 243-2158

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 Icfmr At Georgia Regional Hospital Atlanta's NPI number?

The NPI number for Icfmr At Georgia Regional Hospital Atlanta is 1841328135. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Icfmr At Georgia Regional Hospital Atlanta located?

Icfmr At Georgia Regional Hospital Atlanta is located at 3073 Panthersville Road, Decatur, GA 30034. The listed phone number is (404) 243-2158.

What is Icfmr At Georgia Regional Hospital Atlanta's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Icfmr At Georgia Regional Hospital Atlanta was last updated on August 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.