NPIMap

Organization Active NPI

Neuroglee Care PLLC

  • Neurology Physician
  • Cumming, GA
National Provider Identifier
1225853310
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROGLEE CARE PLLC
Practice address
410 Peachtree Pkwy Ste 4245
Cumming, GA 30041-7407
Phone
(888) 411-7686
NPI assigned
Nov 22, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NEUROGLEE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Ravi Jaimini Patel
Title
Sole Owner
Phone
(812) 878-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

410 Peachtree Pkwy Ste 4245
Cumming, GA 30041-7407

Mailing address

101 Arch St FL 8
Boston, MA 02110-7500
Phone (888) 411-7686

National Provider Directory

National Provider Directory
Tax ID family
Neuroglee Care PLLC9 organizations share this tax ID, including this one
Part of
Neuroglee Care PLLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1225853310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ARCH ST FL 8",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021107500",
            "telephone_number": "888-411-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PEACHTREE PKWY STE 4245",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417407",
            "telephone_number": "888-411-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROGLEE CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROGLEE HEALTH",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "JAIMINI",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "812-878-0070"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.