Active NPI
Preimer Neurosurgical Institute
- Neurological Surgery Physician
- Kennesaw, GA
National Provider Identifier
1356580476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 003649
- Legal business name
- PREIMER NEUROSURGICAL INSTITUTE
- Practice address
- 4350 Freys Farm LN NW
Kennesaw, GA 30152-7323 - Phone
- (404) 441-5987
- NPI assigned
- Feb 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vernon E Spellman Sr.
- Title
- Operations Manager
- Phone
- (404) 441-5987
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 003649 | GA | Primary |
Addresses
Primary practice location
4350 Freys Farm LN NW
Kennesaw, GA 30152-7323
Mailing address
4350 Freys Farm LN NW
Kennesaw, GA 30152-7323
Phone (404) 441-5987
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234396800000",
"number": "1356580476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 FREYS FARM LN NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527323",
"telephone_number": "404-441-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 FREYS FARM LN NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527323",
"telephone_number": "404-441-5987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREIMER NEUROSURGICAL INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-12",
"last_updated": "2009-02-12",
"status": "A",
"authorized_official_last_name": "SPELLMAN",
"authorized_official_first_name": "VERNON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "404-441-5987",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "GA",
"license": "003649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.