Southeastern Neurology Associates,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

56605 Issued in GA

Legal business name

SOUTHEASTERN NEUROLOGY ASSOCIATES,LLC

Practice address

5211 Highway 278 NE
Covington, GA 30014-2671

Phone

(770) 787-8210

Fax

(770) 787-8228

NPI assigned

May 10, 2007

Organization subpart

Yes

Parent organization

NEWTON HEALTH SYSTEM, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Claudia J Weaver

Title

Practice Manager

Phone

(770) 787-8200

Specialties & licenses 3

Addresses

Other names 1

• Newton Health System, Inc Former legal business name

Part of

Newton Healthcare Systems

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Piedmont Newton Hospital, Inc.

  • General Acute Care Hospital
  • Covington, GA
  • NPI 1760498588

  Member Of

  NPD member

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1336353093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 HIGHWAY 278 NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142671",
            "telephone_number": "770-787-8210",
            "fax_number": "770-787-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 HIGHWAY 278 NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142671",
            "telephone_number": "770-787-8210",
            "fax_number": "770-787-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN NEUROLOGY ASSOCIATES,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWTON HEALTH SYSTEM, INC.",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-787-8200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "043773",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "56605",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN120924-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Health System, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Larissa Smith
• Ryan Kyle Smith, PA-C
• Samira Desree Smith, LCSW
• Wendell Smith, MD
• Samia Michelle Solaiman, LCSW
• Southeastern Psychological Associates, Inc
• Erica Spear, RN
• Ashley Nichole Spears, CSFA
• Feleshia Spears
• Spectrum Surgical LLC

• Specialist in Covington, GA
• Providers in Covington, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.