Marietta Neurology and Headache Center, PC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

MARIETTA NEUROLOGY AND HEADACHE CENTER, PC

Practice address

780 Canton Rd
Ste 400
Marietta, GA 30060-7298

Phone

(770) 422-3602

Fax

(770) 421-6115

NPI assigned

Dec 8, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Thomas M Holmes, MD

Title

MD Managing Partner

Phone

(770) 422-3602

Specialties & licenses 1

Addresses

Other names 1

• Marietta Neurological Assoc Former legal business name

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1073598488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CANTON RD",
            "address_2": "STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607298",
            "telephone_number": "770-422-3602",
            "fax_number": "770-421-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CANTON RD",
            "address_2": "STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607298",
            "telephone_number": "770-422-3602",
            "fax_number": "770-421-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA NEUROLOGY AND HEADACHE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD MANAGING PARTNER",
        "authorized_official_telephone_number": "770-422-3602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marietta Neurological Assoc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marietta Medical & Wellness
• Marietta Medical Associates LLC
• Marietta Medical Group
• Marietta Medical Supplies Inc
• Marietta Neonatology, P.C.
• Marietta Newborn Care LLC
• Marietta Northside Hospital Services Corp
• Marietta OB GYN Affiliates 2 LLC
• Marietta OB GYN Affiliates, P.a.
• Marietta OB GYN Affiliates, P.a.

• Neuromusculoskeletal Medicine & OMM Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.