Nabil Atalla, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD000002451 Issued in TN

Practice address

841 Union St
Suite 204
Shelbyville, TN 37160-2610

Phone

(931) 685-9830

Fax

(931) 685-9230

NPI assigned

Nov 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurology and Epilepsy Clinic

  • Neurology Physician
  • Shelbyville, TN
  • NPI 1629148309
  NPD (past) Authorized official
• Neurology and Epilepsy Clinic

  • Neurology Physician
  • Shelbyville, TN
  • NPI 1669551966
  NPD (past) Authorized official

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194134400000",
    "number": "1306026653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 UNION ST",
            "address_2": "SUITE 204",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 UNION ST",
            "address_2": "SUITE 204",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602610",
            "telephone_number": "931-685-9830",
            "fax_number": "931-685-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATALLA",
        "first_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-04",
        "last_updated": "2007-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD000002451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082220",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anesthesia Specialty Associates, Inc
• App of Tennessee HM, PLLC
• Kimberly D Aragon, NA
• Matthew S Arant, CRNA
• Amber Archer, FNP-C
• Angela Atonsa, MS ABA, MS LAW
• Emily Sarah Averitt, PT, DPT
• B2Z Care Services LLC
• Sudhir K Bagga, MD
• Barbara F Kaczmarska

• Neurology Physician in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.