SOUTH DEKALB PRIMARY CARE, PC
SOUTH DEKALB PRIMARY CARE, PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063538924, based in Decatur, GA. It is classified under Health Service Clinic/Center.
Getting there
The practice address on file is 1290 COLUMBIA DR, Decatur, GA 30032. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 156445 | GA | Health Service Clinic/Center primary |
This provider holds licence 156445 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6901703958
- Enrollment ID
- O20050106000004
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Health Service covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QH0100X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1063538924 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 22, 2007 |
| Last updated | Nov 25, 2015 |
| Status | Active |
| Practice address |
1290 COLUMBIA DR Decatur, GA 30032 (404) 289-1952 Fax (404) 289-1953 |
| Other identifiers |
156445
· Other (GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 6 | 3 | 5 | 3 | 8 | 9 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 3 | 3 | 1 | 3 | 7 | 9 | 4 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.