Active NPI
Headway Neuro, PLLC
- Neurology Physician
- Acworth, GA
National Provider Identifier
1164387106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- HEADWAY NEURO, PLLC
- Practice address
- 3889 Cobb Pkwy NW
Acworth, GA 30101-4084 - Phone
- (404) 665-3149
- Fax
- (404) 665-3149
- NPI assigned
- Dec 22, 2025
- Last updated
- Dec 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brandon Arthur Mines, MD
- Title
- Member
- Phone
- (404) 665-3149
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
3889 Cobb Pkwy NW
Acworth, GA 30101-4084
Mailing address
4900 Ivey Rd NW Ste 815
Acworth, GA 30101-4001
Phone (404) 665-3149
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Sports Medicine (Family Medicine) Physician
- Atlanta, GA
- NPI 1427150150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766361600000",
"number": "1164387106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 IVEY RD NW STE 815",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301014001",
"telephone_number": "404-665-3149",
"fax_number": "404-665-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3889 COBB PKWY NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301014084",
"telephone_number": "404-665-3149",
"fax_number": "404-665-3149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEADWAY NEURO, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A",
"authorized_official_last_name": "MINES",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "404-665-3149",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.