Organization Active NPI

Comprehensive Neurology of North Georgia, PC

  • Neurology Physician
  • Woodstock, GA
National Provider Identifier
1407006802
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
060948 Issued in GA
Legal business name
COMPREHENSIVE NEUROLOGY OF NORTH GEORGIA, PC
Practice address
245 River Park North Dr
Woodstock, GA 30188-7835
Phone
(770) 345-0700
Fax
(770) 345-0077
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Faiz E Niaz, MDNPI 1922058023
Title
Physician/Owner
Phone
(770) 345-0070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 060948 GA Primary

Addresses

Primary practice location

245 River Park North Dr
Woodstock, GA 30188-7835

Mailing address

245 River Park North Dr
Woodstock, GA 30188-7835
Phone (770) 345-0700

Other practice location 1

203 Oakside Ln
Suite A
Canton, GA 30114-6407
Phone (770) 345-0070

Other practice location 2

101 Riverstone Vista
Suite 204
Woodstock, GA 30188-3018
Phone (770) 345-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081112000487 GA Part B Supplier - Clinic/Group Practice 0648339176 Receives reassigned benefits from 1 practitioner
Practice locations: Blue Ridge, GA; Woodstock, GA

National Provider Directory

National Provider Directory

Locations

125 Oakside Ct
Ste 301
Canton, GA 30114
Phone (770) 345-0070

245 River Park North Dr
Woodstock, GA 30188
Phone (770) 345-0070

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1407006802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 RIVER PARK NORTH DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887835",
            "telephone_number": "770-345-0700",
            "fax_number": "770-345-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 RIVER PARK NORTH DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887835",
            "telephone_number": "770-345-0700",
            "fax_number": "770-345-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Oakside Ln",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301146407",
            "country_code": "US",
            "telephone_number": "770-345-0070",
            "fax_number": "770-345-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Riverstone Vista",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301883018",
            "country_code": "US",
            "telephone_number": "770-345-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY OF NORTH GEORGIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2021-04-21",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "NIAZ",
        "authorized_official_first_name": "FAIZ",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "770-345-0070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "060948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.