Organization Active NPI

Albany Neurosurgery Center

  • Neurological Surgery Physician
  • Albany, GA
National Provider Identifier
1083669824
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ALBANY NEUROSURGERY CENTER
Practice address
1909 Aberdeen Rd
Suite 106
Albany, GA 31701-1393
Phone
(229) 432-8450
Fax
(229) 432-8451
NPI assigned
May 23, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mark Pickett
Title
VP
Phone
(678) 762-5037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1909 Aberdeen Rd
Suite 106
Albany, GA 31701-1393

Mailing address

1909 Aberdeen Rd
Suite 106
Albany, GA 31701-1393
Phone (229) 432-8450

Other identifiers 1

IdentifierTypeStateIssuer
DF3566OtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1083669824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 ABERDEEN RD",
            "address_2": "SUITE 106",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011393",
            "telephone_number": "229-432-8450",
            "fax_number": "229-432-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 ABERDEEN RD",
            "address_2": "SUITE 106",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011393",
            "telephone_number": "229-432-8450",
            "fax_number": "229-432-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY NEUROSURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "678-762-5037"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF3566",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.