P Praxis·MD
● Active Type 1 · Individual

MRS. Diana Spock Adebulehin, P.A.-C.

Physician Assistant·Decatur, GA· NPI 1700965159 · Enumerated 2006 · 19 years on NPI
Adebulehin is 1 of 20 physician assistant providers in Decatur and 1 of 640 in Georgia.
NPI age
19 years
Enumerated 2006-11-06
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
1014 Sycamore Dr, Ste. B
Decatur, GA 300301644
📞 4042991700fax 4042991616
Mailing address
200 Ivy Glen Cir
Avondale Estates, GA 300021766
📞 4045505590fax 4042991616

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #004458 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 640 Physician Assistant providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related