Active NPI
Edward Stanley Novey, M.D.
- Neurology Physician
- Athens, GA
National Provider Identifier
1033163787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 21265
- Practice address
- 1086 1/2 Baxter St
Athens, GA 30606-6316 - Phone
- (706) 353-0606
- Fax
- (706) 353-0798
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 21265 | GA | Primary |
Addresses
Primary practice location
1086 1/2 Baxter St
Athens, GA 30606-6316
Mailing address
1086 1/2 Baxter St
Athens, GA 30606-6316
Phone (706) 353-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00203431A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21265 | GA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1033163787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 1/2 BAXTER ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066316",
"telephone_number": "706-353-0606",
"fax_number": "706-353-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 1/2 BAXTER ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066316",
"telephone_number": "706-353-0606",
"fax_number": "706-353-0798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVEY",
"first_name": "EDWARD",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "21265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00203431A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.