Community Neurological Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

GA039708 Issued in GA

Legal business name

COMMUNITY NEUROLOGICAL CLINIC

Practice address

3400 McClure Bridge Rd
Suite D401
Duluth, GA 30096-6675

Phone

(770) 622-2230

Fax

(770) 622-9741

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip R Kennedy, MD

Title

Owner/Physician

Phone

(770) 622-2230

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Miroslav Cuturic, M.D.

  • Neurology Physician
  • Columbia, SC
  • NPI 1093776254
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1164614608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD",
            "address_2": "SUITE D401",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966675",
            "telephone_number": "770-622-2230",
            "fax_number": "770-622-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD",
            "address_2": "SUITE D401",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966675",
            "telephone_number": "770-622-2230",
            "fax_number": "770-622-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NEUROLOGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "770-622-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "GA039708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000772813A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Nicole Collins, APRN
• Rachel Elizabeth Collins
• Jadah Colthirst
• Ebony Columbus
• Community Medical Care
• Compass Medical Resources & Concierge (The Detoxologoist Nurse)
• Complete Healthcare Medical Center
• Angela Concepcion
• Shana Gissentanner Conley, LCSW
• Joanne Pamboris Connors, D.C.

• Specialist in Duluth, GA
• Providers in Duluth, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.