Organization Active NPI

Stechison Neurosurgery Atlanta, LLC

  • Neurological Surgery Physician
  • Lawrenceville, GA
National Provider Identifier
1174078752
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
040561 Issued in GA
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

Updated by the provider on Aug 24, 2016

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.