Neurodx Associates LLC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CH8431 Issued in FL

Legal business name

NEURODX ASSOCIATES LLC

Practice address

5485 Bethelview Rd Ste 360-333
Cumming, GA 30040-9735

Phone

(239) 482-0300

NPI assigned

Dec 5, 2011

Last updated

Feb 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George S Petryk, D.C., D.A.C.N.B.NPI 1477551430

Title

Managing Member

Phone

(239) 482-0300

Specialties & licenses 3

Addresses

Locations

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.

• George S Petryk, DC,DACNB,FACFN,FABES

  • Neurology Chiropractor
  • Cumming, GA
  • NPI 1477551430
  NPD Authorized official

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1194093278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MATT HWY STE 502-125",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300288629",
            "telephone_number": "813-355-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD STE 360-333",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409735",
            "telephone_number": "239-482-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODX ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "PETRYK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "239-482-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.A.C.N.B."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH8431",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS7123",
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "FL",
            "license": "CH8431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laqueta Nelson, FNP
• Natasha H Nelson, PHARMD
• Sean Nelson, ATC
• Tarra McCullar Nelson, NP-C
• Jessica Tara Nessmith Peterson, RDH, QOM, CERTBBM
• Neuroglee Care PLLC
• Neurosmart Psychological Associates, P.C.
• Neurosurgery Answer, LLC
• New Beginnings Counseling, LLC
• New Dawn Affordable Care

• Neurology Chiropractor in Cumming, GA
• Providers in Cumming, GA by specialty
• Neurology Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.