Organization Active NPI

Headway Neuro, PLLC

  • Neurology Physician
  • Acworth, GA
National Provider Identifier
1164387106
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Dr. Brandon Arthur Mines, MDNPI 1427150150
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.