Charles D Barclay (NPI# 1023122652, PAC ID# 1456244631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1023122652 |
| PAC ID by PECOS | 1456244631 |
| Professional Enrollment ID | I20080326000624 |
| Full Name | Charles D Barclay |
| Organization Legal Name | DEKALB MEDICAL PRIMARY CARE GROUP LLC |
| Address |
487 Winn Way Suite 202 Decatur GA 30333-1728 |
| Phone Number | 4042940702 |
| Gender | M |
| Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1557411162 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| 110226 | DEKALB MEDICAL CENTER AT HILLANDALE |
| Address | Phone | Organization |
|---|---|---|
| 487 Winn Way, Suite 202, Decatur, GA 30333-1728 | 4042940702 | DEKALB MEDICAL PRIMARY CARE GROUP LLC |
| 8225 Mall Pkwy, Suite 100, Lithonia, GA 30038-6996 | 7709812100 | DEKALB MEDICAL PRIMARY CARE GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | DEKALB MEDICAL PRIMARY CARE GROUP LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina B Knox | Physician Assistant | Dekalb Medical Primary Care Group LLC | 200 E Ponce De Leon Ave, Suite 110, Decatur, GA 30030-3467 |
| Shahid Rafique | Internal Medicine | Dekalb Medical Primary Care Group LLC | 2356 Lenora Church Rd, Snellville, GA 30078-3233 |
| Vera A Reaves | Family Practice | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Suite 202, Decatur, GA 30333-1728 |
| John H Ahrendt | Family Practice | Dekalb Medical Primary Care Group LLC | 2356 Lenora Church Rd, Snellville, GA 30078-3233 |
| John W Budell | Internal Medicine | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Decatur, GA 30333-1728 |
| Kelley S Wharton | Nurse Practitioner | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Decatur, GA 30333-1728 |
| David J Roth | Internal Medicine | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Decatur, GA 30333-1728 |
| Sharon R Rabinovitz | Family Practice | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Suite 202, Decatur, GA 30333-1728 |
| Dean S Attaway | Family Practice | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Suite 202, Decatur, GA 30333-1728 |
| Street Address |
487 WINN WAY SUITE 202 |
| City | DECATUR |
| State | GA |
| Zip | 30333-1728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cecil M Anderson Iii | Physical Therapy | 487 Winn Way, Suite 201, Decatur, GA 30030-1728 | |
| Vera A Reaves | Family Practice | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Suite 202, Decatur, GA 30333-1728 |
| Charles L. Owen Jr. | Physical Therapy | 487 Winn Way, Suite 201, Decatur, GA 30030-1728 | |
| John W Budell | Internal Medicine | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Decatur, GA 30333-1728 |
| Kelley S Wharton | Nurse Practitioner | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Decatur, GA 30333-1728 |
| David J Roth | Internal Medicine | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Decatur, GA 30333-1728 |
| Sharon R Rabinovitz | Family Practice | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Suite 202, Decatur, GA 30333-1728 |
| Dean S Attaway | Family Practice | Dekalb Medical Primary Care Group LLC | 487 Winn Way, Suite 202, Decatur, GA 30333-1728 |
| City | DECATUR |
| Zip Code | 30333 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | DECATUR + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Charles D Barclay.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.