Active NPI
Neuro Resource PC
- Neurology Physician
- Nashville, TN
National Provider Identifier
1114041548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 012943
- Legal business name
- NEURO RESOURCE PC
- Practice address
- 3443 Dickerson Pike Ste 300
Nashville, TN 37207-2523 - Phone
- (615) 868-0200
- Fax
- (615) 865-5999
- NPI assigned
- Mar 19, 2007
- Organization subpart
- Yes
- Parent organization
- NEURO RESOURCE PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paulo Acosta, MD
- Title
- Owner
- Phone
- (615) 868-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 012943 | TN | Primary |
Addresses
Primary practice location
3443 Dickerson Pike Ste 300
Nashville, TN 37207-2523
Mailing address
3443 Dickerson Pike Ste 300
Nashville, TN 37207-2523
Phone (615) 868-0200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000950 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3184804 | Medicaid | TN |
National Provider Directory
National Provider Directory- Part of
- Neuro-Resource PC
Locations
510 Hospital Dr
Ste 540
Madison, TN 37115
Phone (615) 868-0200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lawrenceburg, TN
- NPI 1144305152
-
- Physician Assistant
- Nashville, TN
- NPI 1568070043
-
- Acute Care Nurse Practitioner
- Carrollton, GA
- NPI 1588698880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316044800000",
"number": "1114041548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE STE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072523",
"telephone_number": "615-868-0200",
"fax_number": "615-865-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE STE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072523",
"telephone_number": "615-868-0200",
"fax_number": "615-865-5999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO RESOURCE PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEURO RESOURCE PC",
"enumeration_date": "2007-03-19",
"last_updated": "2011-09-15",
"status": "A",
"authorized_official_last_name": "ACOSTA",
"authorized_official_first_name": "PAULO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-868-0200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "012943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2000950",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3184804",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
- Drexel A. Neumann, MD
- Serena Marie Neumann, FNP
- Jeanann Marie Neumeyer, ATC
- Michael Jon Neumeyer, ATC/L, CSCS
- Vannessa Neunder, SLP-CCC
- Neurobehavioral Consultants, Inc
- Neurology Clinic & Associates, LLC
- Neurology Diagnostics Group, PLLC
- Neuropathy Clinics of Tennessee, PLLC
- Neuropsychology Consultants, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.