Active NPI
Stechison Neurosurgery Atlanta, LLC
- Neurological Surgery Physician
- Lawrenceville, GA
National Provider Identifier
1174078752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 040561
- Legal business name
- STECHISON NEUROSURGERY ATLANTA, LLC
- Practice address
- 743 Old Norcross Rd
Lawrenceville, GA 30046-4317 - Phone
- (404) 683-5240
- NPI assigned
- Aug 24, 2016
- 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. Michael Thomas Stechison, M.D. PH.D.
- Title
- President
- Phone
- (404) 683-0240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 040561 | GA | Primary |
Addresses
Primary practice location
743 Old Norcross Rd
Lawrenceville, GA 30046-4317
Mailing address
819 Glendale Ter NE
Atlanta, GA 30308-1652
Phone (404) 683-5240
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471996800000",
"number": "1174078752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 GLENDALE TER NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081652",
"telephone_number": "404-683-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 OLD NORCROSS RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464317",
"telephone_number": "404-683-5240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STECHISON NEUROSURGERY ATLANTA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-24",
"last_updated": "2016-08-24",
"status": "A",
"authorized_official_last_name": "STECHISON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-683-0240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D. PH.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "GA",
"license": "040561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.