Organization Active NPI

Braincare, LLC

  • Physiological Laboratory
  • Atlanta, GA
National Provider Identifier
1073991105
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
BRAINCARE, LLC
Practice address
100 Hartsfield Center Pkwy
Ste 558
Atlanta, GA 30354-1341
Phone
(866) 848-2522
Fax
(877) 290-1544
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Janice Shock
Title
Coo
Phone
(866) 848-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

100 Hartsfield Center Pkwy
Ste 558
Atlanta, GA 30354-1341

Mailing address

2670 Firewheel Dr
Ste B
Flower Mound, TX 75028-4601
Phone (866) 848-2522

Other names 1

  • Global Neuro-Diagnostics Doing business as

National Provider Directory

National Provider Directory

Locations

100 Hartsfield Center Pkwy
#558
Atlanta, GA 30354

100 Hartsfield Center Pkwy
Ste 558
Atlanta, GA 30354

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1073991105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 FIREWHEEL DR",
            "address_2": "STE B",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284601",
            "telephone_number": "866-848-2522",
            "fax_number": "972-692-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HARTSFIELD CENTER PKWY",
            "address_2": "STE 558",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541341",
            "telephone_number": "866-848-2522",
            "fax_number": "877-290-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "SHOCK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "866-848-2522"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Neuro-Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.