NPI age
14 years
Enumerated 2011-10-27
● Active Type 2 · Organization
Subpart
Dekalb Pediatric Associates Pc
Dekalb Pediatric Associates Pc is 1 of 2726 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Homer
Ceo
Last NPPES update
2011-10-27
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-10Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1390 Montreal Rd Ste 180
Tucker, GA 300848187
Mailing address
1390 Montreal Rd Ste 180
Tucker, GA 300848187
Authorized official
Ronald A Homer, MD
Ceo
📞 4044464600
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Shilpa Shah, MD Pediatrics NPI 1366488793
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000940266K |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Health care
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Dekalb Pediatric Associates Pc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.