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Decatur Pediatric Group, PA

Q: What type of organization is Decatur Pediatric Group, PA?

Decatur Pediatric Group, PA is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

Pediatrics Physician in Clarkston, GA · enumerated 2007 · authorized official Lynette Wilson-Phillips, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619029592

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Registry record

Entity type Organization (Type 2)

Legal business name Decatur Pediatric Group, PA

Practice address 4112 E Ponce De Leon Ave, Clarkston, GA, 30021

Phone (404) 296-7133

Fax (404) 296-7211

Enumeration date Jan 18, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 038132 (GA) Primary

Authorized official

Name Lynette Wilson-Phillips

Title President

Phone (404) 296-7133

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Decatur Pediatric Group, PA?

Decatur Pediatric Group, PA is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.