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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CORALIE MEDICAL, LLC
NPI 1972429454
General Practice in Decatur, GA

Active since June 29, 2026
167 VIDAL BLVD, DECATUR, GA 30030(404) 308-0173 Get Directions Write a Review

NPPES record added: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Coralie Medical, Llc NPPES

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

CORALIE MEDICAL, LLC (NPI 1972429454) is a healthcare organization registered as a general practice in Decatur, Georgia and active in the NPI registry since June 2026. The organization lists Caroline Morgan Berchuck, Physician, as its authorized official.

NPPES Registry Identity

NPI1972429454
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCORALIE MEDICAL, LLC
Location Address167 VIDAL BLVDDecatur, GA 30030-2346
Mailing Address167 Vidal BlvdDecatur, GA 30030-2346 · (404) 308-0173
Phone(404) 308-0173
Organization SubpartNo
Authorized OfficialCaroline Morgan BerchuckPhysician · (404) 308-0173
Enumeration DateJune 29, 2026
NPPES CertifiedJune 28, 2026
✔ NPI 1972429454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
167 VIDAL BLVD, Decatur, GA 30030
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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

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 Coralie Medical, LLC's NPI number?

The NPI number for Coralie Medical, LLC is 1972429454. It was assigned to this organization in the NPPES registry on June 29, 2026.

Where is Coralie Medical, LLC located?

Coralie Medical, LLC is located at 167 Vidal Blvd, Decatur, GA 30030. The listed phone number is (404) 308-0173.

What is Coralie Medical, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Coralie Medical, LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.