Georgia Neurology, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

GEORGIA NEUROLOGY, LLC

Practice address

700 Breedlove Dr Ste D
Monroe, GA 30655-2064

Phone

(770) 267-1159

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Adeel Rahman, M.D.NPI 1225052442

Title

Owner

Phone

(770) 267-1159

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adeel Rahman, M.D.

  • Neurology Physician
  • Monroe, GA
  • NPI 1225052442

  GA

  Medicare reassignment NPD Authorized official
• Mark William Shaffer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monroe, GA
  • NPI 1023015146
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124239868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BREEDLOVE DR STE D",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552064",
            "telephone_number": "770-267-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BREEDLOVE DR STE D",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552064",
            "telephone_number": "770-267-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "ADEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-267-1159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Monroe, GA
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.