South Dekalb Primary Care, PC
NPI 1063538924 · Health Service Clinic/Center · Decatur, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Dekalb Primary Care, PC is a Health Service Clinic/Center organization in Decatur, GA (NPI 1063538924).
Provider details
- NPI number
- 1063538924
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Welch, Direct Owner(404) 289-1952
- License
- 156445 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2015-11-25
Frequently asked questions
- What is South Dekalb Primary Care, PC's NPI number?
- South Dekalb Primary Care, PC's National Provider Identifier (NPI) is 1063538924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Dekalb Primary Care, PC?
- South Dekalb Primary Care, PC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Dekalb Primary Care, PC located?
- South Dekalb Primary Care, PC's practice location on file with NPPES is 1290 Columbia Dr, Decatur, GA 30032-2824.
- What is South Dekalb Primary Care, PC's phone number?
- The practice phone number listed in the NPPES registry for South Dekalb Primary Care, PC is (404) 289-1952.
- Does South Dekalb Primary Care, PC accept Medicare?
- South Dekalb Primary Care, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Dekalb Primary Care, PC?
- The authorized official listed on South Dekalb Primary Care, PC's NPPES record is Lisa Welch, Direct Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Dekalb Primary Care, PC's NPI active?
- Yes — South Dekalb Primary Care, PC's NPI (1063538924) is active in the NPPES registry as of the last update on 2015-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.