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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY ELIZABETH DECKER, CSFA

Active Sole Proprietor

KELLY ELIZABETH DECKER, CSFA is a Surgical Physician Assistant healthcare provider located in DALLAS, Georgia. NPI 1144067570 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · DALLAS, GA

Registration Details

NPI Number
1144067570
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2024 (2.051478829265 yrs)
Last Updated
Dec 16, 2025
License
126764
Sole Proprietor
Yes

Practice Information

Address
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA, 301329300
Browse GA providers · Browse ZIP 30132
Phone
6784811647
Fax
7703366620
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in DALLAS, GA

Name Credential NPI
MRS. JACKIE LYNN SCHUMAKER CSFA 1639563281
CHRISTEN MICHELLE BENTON CSFA, CST, BA 1831631464
LASUNDRA CASLIN 1659810521
KRISTIN LEE LEDBETTER CSFA 1992578132
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.