Organization Active NPI

Decker Family Practice

  • Family Medicine Physician
  • Butler, GA
National Provider Identifier
1689320640
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DECKER FAMILY PRACTICE
Practice address
18 S Broad St
Butler, GA 31006-5520
Phone
(478) 837-7121
Fax
(478) 837-7020
NPI assigned
Feb 28, 2022
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Laura DeckerNPI 1326441080
Title
Member
Phone
(478) 213-0223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

18 S Broad St
Butler, GA 31006-5520

Mailing address

118 S Broad St
Butler, GA 31006-5525
Phone (478) 213-0223

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1689320640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S BROAD ST",
            "city": "BUTLER",
            "state": "GA",
            "postal_code": "310065525",
            "telephone_number": "478-213-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S BROAD ST",
            "city": "BUTLER",
            "state": "GA",
            "postal_code": "310065520",
            "telephone_number": "478-837-7121",
            "fax_number": "478-837-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECKER FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "478-213-0223"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.