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

Kelly Elizabeth Decker, CSFA

Individual provider Surgical Physician Assistant · NPI 1144067570

Kelly Elizabeth Decker, CSFA is a Surgical Physician Assistant in Dallas, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

10175 Dallas Acworth Hwy Ste 103-14
Dallas, GA 30132-9300
Phone: (678) 481-1647
Fax: (770) 336-6620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 126764

Record details

NPI number1144067570
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSFA
Sole proprietorYes
NPI enumeratedJuly 12, 2024
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

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