Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Healthcare Provider Group, LLC

Organization Rehabilitation Chiropractor · NPI 1922273747

Southern Healthcare Provider Group, LLC provides Rehabilitation Chiropractor services in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2754 N Decatur Rd Ste 110
Decatur, GA 30033-5917 Not confirmed with CMS for 18 years — call before visiting
Phone: (404) 838-0082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence CHIRO07897 (GA)
General Practice Physician Taxonomy 208D00000X · Licence 021447 (GA)

Record details

NPI number1922273747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nelson Medrano — Clinic Director · (770) 792-7893
Other names Southern Healthcare
NPI enumeratedApril 23, 2008
Last updated in NPPESApril 23, 2008
Mailing addressPo Box 6881, Marietta, GA 30065-0881

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