Southcare Physicians Group Neurology, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SOUTHCARE PHYSICIANS GROUP NEUROLOGY, LLC

Doing business as

Southcare Physicians Group Neurology

Practice address

3886 Princeton Lakes Way
Suite 160
Atlanta, GA 30331-5511

Phone

(404) 530-3045

Fax

(404) 530-3052

NPI assigned

Apr 22, 2009

Last updated

Jun 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Other names 1

• Southcare Physicians Group Neurology Doing business as

Practitioners 2

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.

• Barbara A Bruce, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Atlanta, GA
  • NPI 1881600906
  NPD (past)
• Anne Marie Hamburg, MD

  • Neurology Physician
  • Vancouver, WA
  • NPI 1235157496
  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1124262068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405913",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845913",
            "telephone_number": "404-530-3045",
            "fax_number": "404-530-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 PRINCETON LAKES WAY",
            "address_2": "SUITE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315511",
            "telephone_number": "404-530-3045",
            "fax_number": "404-530-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCARE PHYSICIANS GROUP NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southcare Physicians Group Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southeastern Endocrine Laboratory, Inc.

• Neurology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.