Organization Active NPI

Coralie Medical, LLC

  • General Practice Physician
  • Decatur, GA
National Provider Identifier
1972429454
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CORALIE MEDICAL, LLC
Practice address
167 Vidal Blvd
Decatur, GA 30030-2346
Phone
(404) 308-0173
NPI assigned
Jun 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Dr. Caroline Morgan Berchuck, MD
Title
Physician
Phone
(404) 308-0173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

167 Vidal Blvd
Decatur, GA 30030-2346

Mailing address

167 Vidal Blvd
Decatur, GA 30030-2346
Phone (404) 308-0173

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1972429454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 VIDAL BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302346",
            "telephone_number": "404-308-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 VIDAL BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302346",
            "telephone_number": "404-308-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORALIE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-28",
        "status": "A",
        "authorized_official_last_name": "BERCHUCK",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-308-0173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 29, 2026; 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.