Organization Active NPI

Preimer Neurosurgical Institute

  • Neurological Surgery Physician
  • Kennesaw, GA
National Provider Identifier
1356580476
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
003649 Issued in GA
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

Updated by the provider on Feb 12, 2009

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.