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NPI 1659997286 · Family Medicine Physician · Decatur, GA
Provider details
- NPI number
- 1659997286
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Latasha Lewis, Owner(404) 667-0171
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2615 Park Central Blvd
Decatur, GA 30035-3907
Phone: (404) 667-0171
Street-level locationGet directions
Mailing address
2615 Park Central Blvd
Decatur, GA 30035-3907
Registry dates
- Enumerated
- 2020-06-19
- Last updated
- 2020-06-19
- Certified
- 2020-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.