The Neurological Center of East Georgia PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

040258 Issued in GA

Legal business name

THE NEUROLOGICAL CENTER OF EAST GEORGIA PC

Practice address

1601 Fair Road
Suite 400 Cotton Ridge Medical Plaza
Statesboro, GA 30458-1699

Phone

(912) 871-8900

Fax

(912) 871-8901

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gina Michele Taormina, MBA MHA

Title

Administrator

Phone

(912) 871-8900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Statesboro Neurological Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Michael Anthony Taormina, M.D.

  • Neurology Physician
  • Statesboro, GA
  • NPI 1629257787
  Medicare reassignment NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184737728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 FAIR ROAD",
            "address_2": "SUITE 400",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581699",
            "telephone_number": "912-871-8900",
            "fax_number": "912-871-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 FAIR ROAD",
            "address_2": "SUITE 400 COTTON RIDGE MEDICAL PLAZA",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581699",
            "telephone_number": "912-871-8900",
            "fax_number": "912-871-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROLOGICAL CENTER OF EAST GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAORMINA",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-871-8900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA MHA"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "040258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "GPA675",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52676473001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Statesboro Neurological Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Neurology Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.