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

Supreme Healthcare OB/GYN LLC

Organization Specialist · NPI 1639552649

Supreme Healthcare OB/GYN LLC provides Specialist services in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
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

5536 Flat Shoals Pkwy Ste A
Decatur, GA 30034-5408 Not confirmed with CMS for 11 years — call before visiting
Phone: (678) 518-9691
Fax: (678) 518-9692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 57621 (GA)

Record details

NPI number1639552649
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimar Dunn — Assistant Practice Manager · (678) 518-9691
NPI enumeratedJuly 8, 2015
Last updated in NPPESJuly 8, 2015
Mailing address5536 Flat Shoals Pkwy, Suite A, Decatur, GA 30034-5408

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