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NPI 1477865681
● Active Type 2 · Organization
Ponce Preventive Care Llc
Clinic/Center · Decatur, GA · NPI 1477865681
·
Enumerated 2010 · 15 years on NPI
Ponce Preventive Care Llc is 1 of 655 clinic/center organizations in Georgia.
NPI age
15 years
Enumerated 2010-07-06
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Figueroa
Practice Administrator
Last NPPES update
2024-05-06
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
15 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-07 Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
315 W Ponce De Leon Ave Ste 110
Decatur, GA 300302441
📞 4045372521 fax 8442467292
Mailing address
315 W Ponce De Leon Ave Ste 110
Decatur, GA 300302441
📞 4045372521 fax 8442467292
Authorized official
Rosa Figueroa
Practice Administrator
📞 4045372521
Individual providers at this organization
9 individual providers on file at this primary practice address.
Chad Costley , M.D.
Family Medicine
NPI 1700832011
Alison English , FNP-C
Nurse Practitioner
NPI 1831530559
Savannah Johnson , DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1841961307
Kristina Lemene , DNP, FNP
Nurse Practitioner
NPI 1780880823
Amy Maresca , NP
Nurse Practitioner
NPI 1740612985
Cydni Martin , PA
Physician Assistant
NPI 1144809708
Michael Martin , PA-C
Physician Assistant
NPI 1023415528
Juliane Park , PHARMD
Pharmacist
NPI 1811671530
Nirali Patel , MPH, PA-C
Physician Assistant
NPI 1871025411
Specialties
Clinic/Center
Primary
Definition to come...
GA license #054263 taxonomy 261QP2300X
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
taxonomy 207Q00000X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Ponce Preventive Care LLC
Type code 4
recorded 2022-11-18
Ponce Preventive Care LLC
Type code 4
recorded 2010-07-06
Practice context
Multi-provider organization.
9 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.