OrganizationActive
Pain Care Store
NPI 1619399698 · Durable Medical Equipment & Medical Supplies · Decatur, GA
Provider details
- NPI number
- 1619399698
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Taqiyy Saleem, Manager(404) 391-4188
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1836 Second Ave
Decatur, GA 30032-3970
Phone: (404) 391-4188
Street-level locationGet directions
Mailing address
1836 Second Ave
Decatur, GA 30032-3970
Registry dates
- Enumerated
- 2014-01-10
- Last updated
- 2014-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.