Dekalb Medical Primary Care Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DEKALB MEDICAL PRIMARY CARE GROUP LLC

Practice address

2701 N Decatur Rd
Decatur, GA 30033-5918

Phone

(404) 501-3870

NPI assigned

Oct 8, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

DEKALB MEDICAL CENTER INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Duane Barclay, D.O.

Title

Administrator

Phone

(404) 501-5215

Specialties & licenses 1

Addresses

Part of

Dekalb Medical Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dekalb Medical Center, Inc.

  dba Emory Decatur Hospital

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979

  Member Of

  NPD member

Locations

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farida Ahmadi, P.A.

  • Physician Assistant
  • Decatur, GA
  • NPI 1902299597
  NPD
• Dean S Attaway, M. D.

  • Family Medicine Physician
  • Lilburn, GA
  • NPI 1013021229
  NPD
• Shikha Rebecca Chacko, M.D.

  • Internal Medicine Physician
  • Decatur, GA
  • NPI 1568605335
  NPD
• Carmen Echols, M.D.

  • Family Medicine Physician
  • Lithonia, GA
  • NPI 1427210442
  NPD
• Robert Clark Frantz, D.O.

  • Family Medicine Physician
  • Lilburn, GA
  • NPI 1750446969
  NPD
• Andrea Palmer Juliao, M.D.

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1679516843
  NPD
• Christina Berry Knox, PA-C

  • Physician Assistant
  • Decatur, GA
  • NPI 1043488877
  NPD
• Janice C Lim, MD

  • Family Medicine Physician
  • Snellville, GA
  • NPI 1881689115
  NPD
• Andrea R Miles, M.D.

  • Pediatrics Physician
  • McDonough, GA
  • NPI 1275523045
  NPD
• Ebonique C Pillot Magee, PA-C

  • Physician Assistant
  • Lithonia, GA
  • NPI 1043249261
  NPD
• Markebba Shiray Skylark, PA-C

  • Physician Assistant
  • Stone Mountain, GA
  • NPI 1104011626
  NPD
• Tama Lynn Syrop, M.D.

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1639153422
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1104077171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB MEDICAL PRIMARY CARE GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEKALB MEDICAL CENTER INC",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "BARCLAY",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-501-5215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dekalb Medical Center, Inc.
• Dekalb Medical Center, Inc. (Emory Decatur Hospital)
• Dekalb Medical Emergency Assoc
• Dekalb Medical Hospitalists LLC
• Dekalb Medical Occupational Medicine Group LLC
• Dekalb Medical Psych Unit
• Dekalb Medical Specialty Care Group LLC
• Dekalb Neurology Associates, LLC
• Dekalb Neurology Group, LLC
• Dekalb Orthopedic Clinic PA

• General Practice Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.