Active NPI
Linduc PC
- Internal Medicine Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LINDUC PC
- Practice address
- 2680 Lawrenceville Hwy Ste 202
Decatur, GA 30033-2526 - Phone
- (470) 250-1418
- Fax
- (770) 674-7626
- NPI assigned
- Jul 18, 2019
- Last updated
- May 15, 2024
- Organization subpart
- Yes
- Parent organization
- LINDUC PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Uchenna Peter Kalu, MD
- Title
- Medical Director
- Phone
- (470) 250-1418
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | NU |
Addresses
Primary practice location
2680 Lawrenceville Hwy Ste 202
Decatur, GA 30033-2526
Mailing address
2680 Lawrenceville Hwy Ste 202
Decatur, GA 30033-2526
Phone (470) 250-1418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 734200366C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba LINDUC Medical Clinic
- Internal Medicine Physician
- Decatur, GA
- NPI 1609162965
O20110712000394
National Provider Directory
National Provider Directory- Tax ID family
- Linduc PC
- Part of
- Linduc PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Decatur, GA
- NPI 1841312907
-
- Family Nurse Practitioner
- Decatur, GA
- NPI 1700290376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1750934857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 LAWRENCEVILLE HWY STE 202",
"city": "DECATUR",
"state": "GA",
"postal_code": "300332526",
"telephone_number": "470-250-1418",
"fax_number": "770-674-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 LAWRENCEVILLE HWY STE 202",
"city": "DECATUR",
"state": "GA",
"postal_code": "300332526",
"telephone_number": "470-250-1418",
"fax_number": "770-674-7626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDUC PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LINDUC PC",
"enumeration_date": "2019-07-18",
"last_updated": "2024-05-15",
"certification_date": "2024-05-14",
"status": "A",
"authorized_official_last_name": "KALU",
"authorized_official_first_name": "UCHENNA",
"authorized_official_middle_name": "PETER",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "470-250-1418",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "734200366C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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 May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.