NPIMap

Organization Active NPI

Neuronexus, Inc.

  • Surgical Technologist
  • Atlanta, GA
National Provider Identifier
1346480092
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
NEURONEXUS, INC.
Practice address
3535 Peachtree Rd NE
Suite# 520-637
Atlanta, GA 30326-3292
Phone
(678) 508-4146
Fax
(678) 829-0563
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Mr. Daryl Wakefield
Title
Ceo/President
Phone
(678) 508-4146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0500X
Surgical TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZS0410X Primary

Addresses

Primary practice location

3535 Peachtree Rd NE
Suite# 520-637
Atlanta, GA 30326-3292

Mailing address

3535 Peachtree Rd NE
Suite# 520-637
Atlanta, GA 30326-3292
Phone (678) 508-4146

National Provider Directory

National Provider Directory

Locations

3535 Peachtree Rd NE
Ste 520637
Atlanta, GA 30326
Phone (404) 823-6240

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1346480092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE",
            "address_2": "SUITE# 520-637",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263292",
            "telephone_number": "678-508-4146",
            "fax_number": "678-829-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE",
            "address_2": "SUITE# 520-637",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263292",
            "telephone_number": "678-508-4146",
            "fax_number": "678-829-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURONEXUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "678-508-4146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.