Active NPI
Decker Family Practice
- Family Medicine Physician
- Butler, GA
National Provider Identifier
1689320640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Decker
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Macon, GA
- NPI 1326441080
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
- Butler Long Term Care Solutions
- Susan Michele Campbell, DOCTOR OF EDUCATION
- Careconnect Health, Inc. (CareConnect Family Practice)
- Commissioners of Roads and Revenues Taylor County
- Community Primary Care of Georgia LLC (Community Primary Care)
- Drexel Distribution Inc (Ez Test Ny)
- Ieisha Freeman, LBA
- Freemans Early Intervention Services
- Glam Queen, LLC
- Glenda Louise Latimore, PH.D.
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.