Organization Active NPI

Albany Neurosurgery Center, LLC

  • Neurological Surgery Physician
  • Albany, GA
National Provider Identifier
1356385058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ALBANY NEUROSURGERY CENTER, LLC
Practice address
1909 Aberdeen Rd
Ste 106
Albany, GA 31701-1393
Phone
(229) 432-8450
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Pickett
Title
VP
Phone
(229) 432-8450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1909 Aberdeen Rd
Ste 106
Albany, GA 31701-1393

Mailing address

1909 Aberdeen Rd
Ste 106
Albany, GA 31701-1393
Phone (229) 432-8450

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356385058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 ABERDEEN RD",
            "address_2": "STE 106",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011393",
            "telephone_number": "229-432-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 ABERDEEN RD",
            "address_2": "STE 106",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011393",
            "telephone_number": "229-432-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY NEUROSURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "229-432-8450"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.