Netcare Medical Clinic Decatur, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NETCARE MEDICAL CLINIC DECATUR, INC

Practice address

4284 Memorial Dr Ste C
Suite C
Decatur, GA 30032-1220

Phone

(404) 592-2020

Fax

(404) 592-1592

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael Solomon, M.D.

Title

Medical Director

Phone

(314) 517-5012

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1598041741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 MEMORIAL DR STE C",
            "address_2": "SUITE C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321220",
            "telephone_number": "404-592-2020",
            "fax_number": "404-592-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 MEMORIAL DR STE C",
            "address_2": "SUITE C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321220",
            "telephone_number": "404-592-2020",
            "fax_number": "404-592-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETCARE MEDICAL CLINIC DECATUR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "314-517-5012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Nelson, LBA
• Nikkita Nelson
• Wanda Denise Nelson
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• Timothy Eliger Nesmith, LPC
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• Kimberly A Neville
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• Family Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.