Active NPI
Lafayette Neurology, PC
- Neurology Physician
- Lagrange, GA
National Provider Identifier
1164882635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 58107
- Legal business name
- LAFAYETTE NEUROLOGY, PC
- Practice address
- 1075 Lafayette Parkway
Suite 210
Lagrange, GA 30241-3584 - Phone
- (706) 350-5525
- Fax
- (706) 350-5295
- NPI assigned
- Feb 26, 2016
- Last updated
- Aug 14, 2018
- 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
- Ramona Burnside
- Title
- Office MGR.
- Phone
- (706) 350-5525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 58107 | GA | Primary |
Addresses
Primary practice location
1075 Lafayette Parkway
Suite 210
Lagrange, GA 30241-3584
Mailing address
1075 Lafayette Parkway
Suite 210
Lagrange, GA 30241-3584
Phone (706) 350-5525
National Provider Directory
National Provider DirectoryLocations
1075 Lafayette Pkwy
Ste 210
Lagrange, GA 30241
Phone (706) 350-5525
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.
-
- Surgery Physician
- Lagrange, GA
- NPI 1144548850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534204800000",
"number": "1164882635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 LAFAYETTE PARKWAY",
"address_2": "SUITE 210",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302413584",
"telephone_number": "706-350-5525",
"fax_number": "706-350-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 LAFAYETTE PARKWAY",
"address_2": "SUITE 210",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302413584",
"telephone_number": "706-350-5525",
"fax_number": "706-350-5295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAFAYETTE NEUROLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-26",
"last_updated": "2018-08-14",
"status": "A",
"authorized_official_last_name": "BURNSIDE",
"authorized_official_first_name": "RAMONA",
"authorized_official_title_or_position": "OFFICE MGR.",
"authorized_official_telephone_number": "706-350-5525"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "58107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
- Laboratory Corporation of Americ Holdings
- Laboratory Corporation of America Holdings
- Rachael Nichole Lacey, PT
- Benjamin Thomas Ladd, APRN
- Lafayette Imaging LLC
- Lafayette Surgery Center LLC
- Lagrange Cardiovascular Center LLC
- Lagrange Care Center LLC
- Lagrange Clinic of Chiropractic Incorporated
- Lagrange College
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.