Active NPI
Stephen George Pappas, M.D.
- Neurology Physician
- Brunswick, GA
National Provider Identifier
1033198809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 029509
- Practice address
- 2600 Parkwood Dr
Brunswick, GA 31520-4725 - Phone
- (912) 264-9999
- Fax
- (912) 264-8099
- NPI assigned
- Jan 11, 2006
- Last updated
- Mar 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 029509 | GA | |
| Neurology Physician | 2084N0400X | 029509 | GA | Primary |
Addresses
Primary practice location
2600 Parkwood Dr
Brunswick, GA 31520-4725
Mailing address
2600 Parkwood Dr
Brunswick, GA 31520-4725
Phone (912) 264-9999
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093986192 | Other | GA | GROUP NPI |
| 00342922A | Medicaid | GA | |
| 611242 | Other | GA | BLUE CROSS BLUE SHIELD |
| 130016081 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120119000854 | GA | Practitioner - Neurology | 7911069950 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029509 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.J. Martelli, M.D. | Past | Accepting new patients | |
| Marc W. Eaton, PH.D., P.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Neuro Spinal and Headache Center
- Neurology Physician
- Brunswick, GA
- NPI 1093986192
-
- Psychiatry Physician
- Brunswick, GA
- NPI 1265613277
-
- Clinical Psychologist
- Waycross, GA
- NPI 1336326289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1033198809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 PARKWOOD DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204725",
"telephone_number": "912-264-9999",
"fax_number": "912-264-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 PARKWOOD DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204725",
"telephone_number": "912-264-9999",
"fax_number": "912-264-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPPAS",
"first_name": "STEPHEN",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "029509",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "029509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1093986192",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00342922A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "611242",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130016081",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.