| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1477865681 | PONCE PRIMARY CARE LLC | 402 W PONCE DE LEON AVE | DECATUR | GA | 300302443 | |||
| 1700832011 | COSTLEY | CHAD | DONALD | 402 W PONCE DE LEON AVE | DECATUR | GA | 300302443 | |
| 1841961307 | JOHNSON | SAVANNAH | CLAY | 315 W PONCE DE LEON AVE STE 110 | DECATUR | GA | 300302441 | |
| 1780880823 | LEMENE | KRISTINA | E | 402 W PONCE DE LEON AVE | DECATUR | GA | 300302443 | |
| 1245494525 | WALKER | EMILY | JANE | 402 W PONCE DE LEON AVE | DECATUR | GA | 300302443 |