DECATUR PEDIATRIC GROUP, PA – NPI #1619029592
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.

Health Care Provider Taxonomy Code for Pediatrics

DECATUR PEDIATRIC GROUP, PA is a provider located in CLARKSTON, GA. NPPES has assigned the NPI number 1619029592 to DECATUR PEDIATRIC GROUP, PA on January 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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, PA below.

NPI Profile for
DECATUR PEDIATRIC GROUP, PA

NPI Number
1619029592
Enumeration Date

(more than 19 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
DECATUR PEDIATRIC GROUP, PA
Primary location
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021-1817
Phone: (404) 296-7133 Fax: (404) 296-7211
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LYNETTE WILSON-PHILLIPS
PRESIDENT
Phone: (404) 296-7133
Updated
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)		 GA 038132

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.