Individual provider Active NPI

Edward Stanley Novey, M.D.

  • Neurology Physician
  • Athens, GA
National Provider Identifier
1033163787
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
21265 Issued in GA
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

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00203431AMedicaidGA

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

LicenseStateTypeSpecialty
21265GAMDNeurology 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.

Verify at the official NPI Registry.