NPIMap

Organization Active NPI

Jonathan L. Liss, MD, Neurology, PC

  • Neurology Physician
  • Columbus, GA
National Provider Identifier
1053597088
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
039850 Issued in GA
Legal business name
JONATHAN L. LISS, MD, NEUROLOGY, PC
Practice address
7196 N Lake Dr
Suite a
Columbus, GA 31909-1693
Phone
(706) 327-4000
Fax
(706) 324-2557
NPI assigned
Jan 22, 2008
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mrs. Lisa Kae Liss
Title
Vice-President
Phone
(706) 327-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 039850 GA Primary

Addresses

Primary practice location

7196 N Lake Dr
Suite a
Columbus, GA 31909-1693

Mailing address

7196 N Lake Dr
Suite a
Columbus, GA 31909-1693
Phone (706) 327-4000

National Provider Directory

National Provider Directory

Locations

7196 North Lake Dr
Ste A
Columbus, GA 31909
Phone (706) 327-4000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1053597088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7196 N LAKE DR",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319091693",
            "telephone_number": "706-327-4000",
            "fax_number": "706-324-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7196 N LAKE DR",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319091693",
            "telephone_number": "706-327-4000",
            "fax_number": "706-324-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN L. LISS, MD, NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "LISS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "706-327-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "039850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.