Individual provider Active NPI

Laura Shirlene Decker, APRN

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1326441080
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN123457 Issued in GA
Practice address
4585 Hartley Bridge Rd
Macon, GA 31216-5501
Phone
(478) 781-9118
NPI assigned
Oct 8, 2014
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN123457 GA Primary

Addresses

Primary practice location

4585 Hartley Bridge Rd
Macon, GA 31216-5501

Mailing address

517 Southland TRL
Byron, GA 31008-6062
Phone (478) 213-0223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150112000765 GA Practitioner - Nurse Practitioner 6204150766 Reassigns benefits to 2 organizations
I20251205003540 MI Practitioner - Nurse Practitioner 6204150766 Reassigns benefits to 1 organization
I20260111000109 WV Practitioner - Nurse Practitioner 6204150766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

424 Church St
Nashville, TN 37219-2301

517 Southland TRL
Byron, GA 31008-6062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Medical Associates, LLC Current Accepting new patients
Medical Group of Central Georgia, LLC CurrentSince Jun 1, 2023 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Nov 1, 2023 Accepting new patients
Matrix Medical Plus CurrentSince Dec 1, 2025 Accepting new patients
Guardian Medical Services, LLC PastSince Dec 14, 2020 Accepting new patients
Peachtree Immediate Care FP, LLC PastSince Sep 18, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

2054 Watson Blvd
Warner Robins, GA 31093
Phone (478) 918-0770

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

209 Washington St W
Charleston, WV 25302
Phone 24852821166

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1326441080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SOUTHLAND TRL",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086062",
            "telephone_number": "478-213-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 HARTLEY BRIDGE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312165501",
            "telephone_number": "478-781-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "LAURA",
        "middle_name": "SHIRLENE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN123457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.