Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Healthcare Provider Group, LLC

Organization Rehabilitation Chiropractor · NPI 1922273747

Southern Healthcare Provider Group, LLC is a Rehabilitation Chiropractor 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
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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