Neuralogix Medical Group LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEURALOGIX MEDICAL GROUP LLC

Practice address

2506 Lakeland Dr Ste 110a
Flowood, MS 39232-7640

Phone

(833) 274-6998

NPI assigned

Aug 16, 2023

Organization subpart

No

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

Authorized official

Name

Charles G. Eckert

Title

Vice President

Phone

(504) 491-4987

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1093598690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 HIGHWAY 22 STE C10",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712669",
            "telephone_number": "504-491-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 110A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640",
            "telephone_number": "833-274-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURALOGIX MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "504-491-4987"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Nelms, CFNP
• Caitlyn Michelle Nelson
• Joanna Nelson, FNP-BC
• Laura Robinson Nelson
• Nettie Hines, OD
• Neuromaxx Surgical, Inc
• Newborn Associates P a
• Natalie Newell, PTA
• Christine Newman, NP
• Newsouth Neurospine LLC

• All providers in Flowood, MS
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.