Nova Brain and Spine, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NOVA BRAIN AND SPINE, LLC

Practice address

700 Manassas St Ste 300
Hampton, GA 30228-5906

Phone

(770) 515-8770

Fax

(404) 891-8323

NPI assigned

Nov 11, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Lee Walters II, MDNPI 1083058291

Title

Physician/Owner

Phone

(601) 842-1054

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Jerry Lee Walters II, M.D.

  • Neurological Surgery Physician
  • Marietta, GA
  • NPI 1083058291

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Marcus Lamar Stephens II, M.D.

  • Neurological Surgery Physician
  • Little Rock, AR
  • NPI 1063808061

  GA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1386514537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MANASSAS ST STE 300",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302285906",
            "telephone_number": "770-515-8770",
            "fax_number": "404-891-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MANASSAS ST STE 300",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302285906",
            "telephone_number": "770-515-8770",
            "fax_number": "404-891-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA BRAIN AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "601-842-1054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Petra Nozile, FNP-C
• Joy C Nwokenta, MS, RD, LD, IBCLC
• Lukethia Ogoe, PHD
• Juliet Abiola Ogungbamila
• Obiajulu C. Okafor, M.D.

• Neurological Surgery Physician in Hampton, GA
• Providers in Hampton, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.