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

Last updated

Jun 7, 2013By the provider in NPPES

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, MDNPI 1326131467

Title

MD Managing Partner

Phone

(770) 422-3602

Specialties & licenses 1

Addresses

Other names 1

• Marietta Neurological Assoc Former legal business name

Practitioners 1

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.

• Thomas M. Holmes, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Marietta, GA
  • NPI 1326131467
  Authorized official Same address or phone

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 Specialty Pharmacy)
• 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.