Active NPI
Julie Decker
- Family Nurse Practitioner
- Gainesville, GA
National Provider Identifier
1215263637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN138117
- Practice address
- 649 Shallowford Rd
Gainesville, GA 30504-4146 - Phone
- (866) 825-3227
- NPI assigned
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN138117 | GA | Primary |
Addresses
Primary practice location
649 Shallowford Rd
Gainesville, GA 30504-4146
Mailing address
161 Washington St FL 14
Eight Tower Bridge, Ste 1400
Conshohocken, PA 19428-2083
Phone (866) 825-3227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medcare, Inc | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Paulk Family Clinic/A Baptist Health Affiliate
- Family Medicine Physician
- Sheridan, AR
- NPI 1548239247
-
dba Little Rock Emergency Doctors Group
- Emergency Medicine Physician
- Little Rock, AR
- NPI 1699868323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1215263637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 WASHINGTON ST FL 14",
"address_2": "EIGHT TOWER BRIDGE, STE 1400",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282083",
"telephone_number": "866-825-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 SHALLOWFORD RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305044146",
"telephone_number": "866-825-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN138117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.