Gainesville Neurology Group LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0134176 Issued in GA

Legal business name

GAINESVILLE NEUROLOGY GROUP LLC

Practice address

1240 Jesse Jewell Pkwy SE
Suite 400
Gainesville, GA 30501-3862

Phone

(770) 534-1117

Fax

(770) 503-7285

NPI assigned

Dec 4, 2007

Last updated

Apr 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debbie A Presley, RMM,RMC

Title

Practice Adminstrator

Phone

(770) 534-1117

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDAFAA

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1396927042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 400",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013862",
            "telephone_number": "770-534-1117",
            "fax_number": "770-503-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 400",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013862",
            "telephone_number": "770-534-1117",
            "fax_number": "770-503-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE NEUROLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINSTRATOR",
        "authorized_official_telephone_number": "770-534-1117",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RMM,RMC"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "0134176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gainesville Podiatry Clinic, Inc

• Neurology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.