Organization Active NPI

Southwest Georgia Neurology, P.C.

  • Neurology Physician
  • Albany, GA
National Provider Identifier
1003974809
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
38290 Issued in GA
Legal business name
SOUTHWEST GEORGIA NEUROLOGY, P.C.
Practice address
2709 Meredyth Dr
Suite 230
Albany, GA 31707-0222
Phone
(229) 438-0703
Fax
(229) 883-0701
NPI assigned
Dec 5, 2006
Organization subpart
No

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ernest Alan Little, M.D.
Title
President
Phone
(229) 438-0703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 38290 GA Primary

Addresses

Primary practice location

2709 Meredyth Dr
Suite 230
Albany, GA 31707-0222

Mailing address

2709 Meredyth Dr
Suite 230
Albany, GA 31707-0222
Phone (229) 438-0703

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003974809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 MEREDYTH DR",
            "address_2": "SUITE 230",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070222",
            "telephone_number": "229-438-0703",
            "fax_number": "229-883-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 MEREDYTH DR",
            "address_2": "SUITE 230",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070222",
            "telephone_number": "229-438-0703",
            "fax_number": "229-883-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST GEORGIA NEUROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-438-0703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "38290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.