Organization Active NPI

Chandra Britt Armstrong MD, LLC

  • Primary Care Clinic/Center
  • Decatur, GA
National Provider Identifier
1518185040
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
155972 Issued in GA
Legal business name
CHANDRA BRITT ARMSTRONG MD, LLC
Practice address
1862 Candler Rd
Decatur, GA 30032-4163
Phone
(404) 289-4556
Fax
(678) 720-0440
NPI assigned
Apr 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Samuel D Armstrong, MBA
Title
Administrator
Phone
(678) 521-7557

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X 155972 GA Primary

Addresses

Primary practice location

1862 Candler Rd
Decatur, GA 30032-4163

Mailing address

1862 Candler Rd
Decatur, GA 30032-4163
Phone (404) 289-4556

Other identifiers 1

IdentifierTypeStateIssuer
155972OtherGABUSINESS LICENSE

Other names 2

  • Dekalb Family Medicine On Candler Former legal business name
  • Dekalb Family Medicine On Candler, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312001236 GA Part B Supplier - Clinic/Group Practice 1759270135 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1018257Chandra Britt Armstrong MD, LLC1862 Candler Road, Decatur, GA 30032Certificate of waiverOct 16, 2027

National Provider Directory

National Provider Directory

Locations

8052 Mall Pkwy
Ste 103
Lithonia, GA 30038
Phone (404) 289-4556

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1518185040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1862 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324163",
            "telephone_number": "404-289-4556",
            "fax_number": "404-478-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1862 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324163",
            "telephone_number": "404-289-4556",
            "fax_number": "678-720-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDRA BRITT ARMSTRONG MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-521-7557",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "155972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "155972",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dekalb Family Medicine On Candler",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dekalb Family Medicine On Candler, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.