Nicole Shearon Decker

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4045 Orchard Rd SE
Smyrna, GA 30080-4902

Phone

(770) 293-1950

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1346026275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N HIGHLAND AVE NE APT 137",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064651",
            "telephone_number": "770-315-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 ORCHARD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804902",
            "telephone_number": "770-293-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "NICOLE",
        "middle_name": "SHEARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan T. Day, LPC, NCC
• Richard John De Carlo, D.C.
• Bryan J De Marco, M.D.
• Eric Deal, DO
• Jimal Romane Deas
• Veronica D. Delaney, ARNP, FNP-C
• Coralis Delgado Rivera, DC
• Delmar Gardens of Smyrna, LLC (Delmar Gardens of Smyrna)
• Delmar Gardens of Smyrna, LLC (Delmar Gardens of Smyrna)
• Lisa Delva, PHARM. D.

• Mental Health Counselor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.