OrganizationActive
Primacare Pain & Rehab.,llc
NPI 1043537905 · Pain Clinic/Center · Decatur, GA
Primacare Pain & Rehab.,llc is a Pain Clinic/Center organization in Decatur, GA (NPI 1043537905).
Provider details
- NPI number
- 1043537905
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Khamis Ibrahim, Clinic Director(404) 284-5556
- License
- 019313 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4467 Glenwood Rd
Suite 2
Decatur, GA 30032-5014
Phone: (404) 284-5556
Fax: (404) 284-5557
Street-level locationGet directions
Mailing address
4467 Glenwood Rd
Decatur, GA 30032-5014
Registry dates
- Enumerated
- 2010-04-30
- Last updated
- 2010-04-30
Frequently asked questions
- What is Primacare Pain & Rehab.,llc's NPI number?
- Primacare Pain & Rehab.,llc's National Provider Identifier (NPI) is 1043537905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primacare Pain & Rehab.,llc?
- Primacare Pain & Rehab.,llc is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Primacare Pain & Rehab.,llc located?
- Primacare Pain & Rehab.,llc's practice location on file with NPPES is 4467 Glenwood Rd, Decatur, GA 30032-5014.
- What is Primacare Pain & Rehab.,llc's phone number?
- The practice phone number listed in the NPPES registry for Primacare Pain & Rehab.,llc is (404) 284-5556.
- Who is the authorized official for Primacare Pain & Rehab.,llc?
- The authorized official listed on Primacare Pain & Rehab.,llc's NPPES record is Khamis Ibrahim, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primacare Pain & Rehab.,llc's NPI active?
- Yes — Primacare Pain & Rehab.,llc's NPI (1043537905) is active in the NPPES registry as of the last update on 2010-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.