Dekalb Gpo LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

DEKALB GPO LLC

Practice address

2801 N Decatur Rd
Suite 200
Decatur, GA 30033-5949

Phone

(404) 296-5005

Fax

(404) 296-9417

NPI assigned

Mar 24, 2014

Last updated

Mar 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian PalloneNPI 1619591450

Title

Practice Administrator

Phone

(404) 296-5005

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Brian Pallone, AT., C

  • Athletic Trainer
  • Decatur, GA
  • NPI 1619591450
  Authorized official Same address or phone
• Maurice Jove, MD

  • Orthopaedic Surgery Physician
  • Decatur, GA
  • NPI 1427153089
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1538586995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB GPO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "PALLONE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-296-5005"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dekalb County Board of Health
• Dekalb County Board of Health
• Dekalb County Drug Court
• Dekalb Gastroenterology Associates
• Dekalb Gastroenterology Associates III, LLC (Dekalb Endoscopy Center)
• Dekalb Gynecology Associates
• Dekalb Medical Center Home Health
• Dekalb Medical Center Inc, Dba Emory Decatur Hospital
• Dekalb Medical Center, Inc. (Emory Decatur Hospital)
• Dekalb Medical Center, Inc.

• Adult Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Adult Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.