WHOLE FAMILY MEDICINE, LLC
NPI 1053589481
Family Medicine in Decatur, GA

NPI Status: Active since February 19, 2008

Contact Information

402 W PONCE DE LEON AVE
DECATUR, GA
ZIP 30030
Phone: (404) 377-9010
Fax: (404) 935-0254

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  • Organization
  • Family Medicine
  • CLIA Number: 11D1077439
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-10-2025

About WHOLE FAMILY MEDICINE, LLC

This page provides the complete NPI Profile along with additional information for Whole Family Medicine, Llc, a primary care provider established in Decatur, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1053589481 assigned on February 2008. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Marion Kaylor Owen M.d. (President)

NPI
1053589481
Provider Name
WHOLE FAMILY MEDICINE, LLC
Entity Type
Organization
Location Address
402 W PONCE DE LEON AVE DECATUR, GA 30030
Location Phone
(404) 377-9010
Location Fax
(404) 935-0254
Mailing Address
402 W PONCE DE LEON AVE DECATUR, GA 30030
Mailing Phone
(404) 377-9010
Mailing Fax
(404) 935-0254
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2008
Last Update Date
06-21-2024
Code Navigator

A primary care provider (PCP) like Whole Family Medicine, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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 family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARION KAYLOR OWEN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(404) 395-7845

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1077439
Facility Type
Physician Office
Certificate Effective Date
December 11, 2023
Certificate Expiration Date
December 10, 2025
Laboratory Director
MARION K. OWEN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Whole Family Medicine, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053589481
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010310818416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 0 + 8 + 1 + 8 + 4 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1053589481 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689762759 DAVID OROZCO RD
Individual
Dietitian, Registered402 W PONCE DE LEON AVE
DECATUR, GA 30030
(404) 228-9704
1427324342 KARA NICOLE BROWN NP
Individual
Nurse Practitioner (Family)402 W PONCE DE LEON AVE
DECATUR, GA 30030
(404) 537-2521
1245494525DR. EMILY JANE WALKER MD
Individual
Family Medicine402 W PONCE DE LEON AVE
DECATUR, GA 30030
(404) 537-2521
1114424124 ANGELA J HOLDER
Individual
Family Medicine402 W PONCE DE LEON AVE
DECATUR, GA 30030
(404) 537-2521
1083858716 SUSAN LANEY CASTLE FNP-C
Individual
Family Medicine402 W PONCE DE LEON AVE
DECATUR, GA 30030
(404) 377-9010
1922608678 MORGAN BROOKE LEWALLEN MSN, FNP-C
Individual
Nurse Practitioner (Family)402 W PONCE DE LEON AVE
DECATUR, GA 30030
(404) 537-2521
1376586347 MARION K OWEN M.D.
Individual
Family Medicine402 W PONCE DE LEON AVE
DECATUR, GA 30030
(404) 377-9010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053589481, enumerated in the NPI registry as an "organization" on February 19, 2008

The provider is located at 402 W Ponce De Leon Ave Decatur, Ga 30030 and the phone number is (404) 377-9010

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 11D1077439 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on February 19, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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