DECATUR PEDIATRIC GROUP – NPI #1104565910
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

DECATUR PEDIATRIC GROUP is a provider located in CLARKSTON, GA. NPPES has assigned the NPI number 1104565910 to DECATUR PEDIATRIC GROUP on May 31, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DECATUR PEDIATRIC GROUP” is a dba name, the actual legal business name for this organization is MCR HEALTH, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Jun 12, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DECATUR PEDIATRIC GROUP below.

NPI Profile for
MCR HEALTH, INC.

NPI Number
1104565910
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MCR HEALTH, INC.
Doing Business As (dba): DECATUR PEDIATRIC GROUP
Primary location
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021-8106
Phone: (404) 296-7133 Fax:
Mailing address
101 RIVERFRONT BLVD STE 710
BRADENTON, FL 34205-8812
Phone: (941) 776-4000 Fax: (941) 845-4963
Organization Subpart
No
Authorized Official
MELVIN PRICE
PRESIDENT & CEO
Phone: (941) 776-4000
Updated
Certification Date
Jun 12, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
207V00000X
- Obstetrics & Gynecology
207R00000X
- Internal Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.