Professional Interpretive Neurodiagnostics, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PROFESSIONAL INTERPRETIVE NEURODIAGNOSTICS, LLC

Practice address

1001 Village Park Drive
Suite 106
Greensboro, GA 30642-5326

Phone

(762) 445-1600

Fax

(762) 445-1611

NPI assigned

Jun 1, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Keith A Thomas

Title

Ceo

Phone

(770) 616-3401

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1295359602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 VILLAGE PARK DRIVE",
            "address_2": "SUITE 106",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306425326",
            "telephone_number": "762-445-1600",
            "fax_number": "762-445-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 VILLAGE PARK DRIVE",
            "address_2": "SUITE 106",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306425326",
            "telephone_number": "762-445-1600",
            "fax_number": "762-445-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL INTERPRETIVE NEURODIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-07-22",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-616-3401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Stockbridge",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Stockbridge",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Stockbridge",
            "address_1": "275 Corporate Center Dr Ste D",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302817377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Greensboro, GA
• Providers in Greensboro, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.