Spinenexus, Inc.

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

SPINENEXUS, INC.

Practice address

3355 Lenox Rd NE Ste 750
Atlanta, GA 30326-1353

Phone

(404) 823-6240

NPI assigned

Jul 10, 2017

Organization subpart

Yes

Parent organization

SPINENEXUS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Daryl Wakefield

Title

Ceo/President

Phone

(678) 508-4146

Specialties & licenses 1

Addresses

Other names 1

• SpineNexus, Inc. Other name

Part of

Spinenexus Inc

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093237299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261353",
            "telephone_number": "404-823-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261353",
            "telephone_number": "404-823-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINENEXUS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINENEXUS, INC.",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "678-508-4146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpineNexus, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Providers in Atlanta, GA by specialty
• Electroneurodiagnostic Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.