OrganizationActive
Pact Atlanta, LLC
NPI 1114092202 · Medical Specialty Clinic/Center · Decatur, GA
Provider details
- NPI number
- 1114092202
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Todd Antin, Ceo(404) 292-3810
- License
- 036495 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
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
465 Winn Way Ste 221
Decatur, GA 30030-1723
Phone: (404) 292-3810
Fax: (404) 292-3848
Street-level locationGet directions
Mailing address
465 Winn Way Ste 221
Decatur, GA 30030-1723
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.