Jencare Neighborhood Medical Center South Dekalb, LLC
NPI 1912248345ActiveOrganization· Specialist· Decatur, GA
Specialist in Decatur, Georgia, registered in NPPES in March 2013. The authorized official on file is Mary Chen, Authorized Offical.
Overview
| NPI | 1912248345 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2013 |
| Last updated in NPPES | Oct 31, 2024 |
| Certified by provider | Oct 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 069385 | GA |
| Non-Pharmacy Dispensing Site | 332900000X | 069385 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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