Organization Active NPI

Neurological Center of North Georgia, LLC

  • Neurology Physician
  • Gainesville, GA
National Provider Identifier
1205370459
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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

Updated by the provider on May 15, 2018

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
003204389AMedicaidGA

Other names 1

  • The Neurological Center of North Georgia Doing business as

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.