Organization Active NPI

Atlanta Child Neurology, PC

  • Pediatric Neurodevelopmental Disabilities Physician
  • Atlanta, GA
National Provider Identifier
1356527329
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
Legal business name
ATLANTA CHILD NEUROLOGY, PC
Practice address
975 Johnson Ferry Rd NE Ste 360
Atlanta, GA 30342-4735
Phone
(404) 255-2670
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Gerald M Silverboard, MD
Title
President
Phone
(404) 255-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0008X Primary

Addresses

Primary practice location

975 Johnson Ferry Rd NE Ste 360
Atlanta, GA 30342-4735

Mailing address

975 Johnson Ferry Rd NE Ste 360
Atlanta, GA 30342-4735
Phone (404) 255-2670

National Provider Directory

National Provider Directory

Locations

5673 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-6118

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1356527329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FERRY RD NE STE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424735",
            "telephone_number": "404-255-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FERRY RD NE STE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424735",
            "telephone_number": "404-255-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CHILD NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "SILVERBOARD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-255-2670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "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 Jan 21, 2008; 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.