Active NPI
Neurological Center of North Georgia, LLC
- Neurology Physician
- Gainesville, GA
National Provider Identifier
1205370459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROLOGICAL CENTER OF NORTH GEORGIA, LLC
- Doing business as
- The Neurological Center of North Georgia
- Practice address
- 1485 Jesse Jewell Pkwy NE Ste 240a
Gainesville, GA 30501-3801 - Phone
- (678) 961-0733
- NPI assigned
- Dec 7, 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
- Daniel Lamar Cobb, MD
- Title
- Ceo/Owner
- Phone
- (678) 961-0733
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary | ||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X |
Addresses
Primary practice location
1485 Jesse Jewell Pkwy NE Ste 240a
Gainesville, GA 30501-3801
Mailing address
PO Box 908621
Gainesville, GA 30501-0926
Phone (678) 961-0733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003204389A | Medicaid | GA |
Other names 1
- The Neurological Center of North Georgia
National Provider Directory
National Provider DirectoryLocations
1485 Jesse Jewell Pkwy NE
Ste 240
Gainesville, GA 30501
Phone (678) 345-1888
1485 Jesse Jewell Pkwy NE
#240A
Gainesville, GA 30501
1485 Jesse Jewell Pkwy NE
Ste 240A
Gainesville, GA 30501
Phone (678) 961-0733
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHHGAD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Gainesville, GA
- NPI 1184220402
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1609187517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526342400000",
"number": "1205370459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 908621",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305010926",
"telephone_number": "678-961-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 JESSE JEWELL PKWY NE STE 240A",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013801",
"telephone_number": "678-961-0733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGICAL CENTER OF NORTH GEORGIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-07",
"last_updated": "2018-05-15",
"status": "A",
"authorized_official_last_name": "COBB",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "678-961-0733",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003204389A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Neurological Center of North Georgia",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Neurological Center of North Georgia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.