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

Supreme Healthcare OB/GYN LLC

Organization Specialist · NPI 1639552649

Supreme Healthcare OB/GYN LLC is a Specialist 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
Phone: (678) 518-9691
Fax: (678) 518-9692
Show map & directions

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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