Organization Active NPI

Neurology Associates, P.C.

  • Specialist
  • Fayetteville, GA
National Provider Identifier
1225314982
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
047510 Issued in GA
Legal business name
NEUROLOGY ASSOCIATES, P.C.
Practice address
1250 Highway 54 West
Suite 201
Fayetteville, GA 30214
Phone
(770) 716-1562
Fax
(770) 716-0145
NPI assigned
Oct 26, 2011
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Dr. Virendra V. Ranadive, M.D.NPI 1447211149
Title
Owner Operator
Phone
(770) 716-1562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 047510 GA Primary

Addresses

Primary practice location

1250 Highway 54 West
Suite 201
Fayetteville, GA 30214

Mailing address

115 Sumner Rd FL 2
Fayetteville, GA 30214-4758
Phone (770) 716-1562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000094 GA Part B Supplier - Clinic/Group Practice 2860652690 Receives reassigned benefits from 3 practitioners
Practice locations: Fayetteville, GA

National Provider Directory

National Provider Directory

Locations

1250 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 716-1562

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1225314982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUMNER RD FL 2",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144758",
            "telephone_number": "770-716-1562",
            "fax_number": "770-716-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HIGHWAY 54 WEST",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "770-716-1562",
            "fax_number": "770-716-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "RANADIVE",
        "authorized_official_first_name": "VIRENDRA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "770-716-1562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "047510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.