Organization Active NPI

Premier Neurological Care

  • Neurology Physician
  • Canton, GA
National Provider Identifier
1407221658
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
69470 Issued in GA
Legal business name
PREMIER NEUROLOGICAL CARE
Practice address
145 Riverstone Ter
Canton, GA 30114-5317
Phone
(404) 824-7121
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Dr. Saima Khurram, M.D.NPI 1710149455
Title
Physicain
Phone
(404) 824-7121

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 69470 GA Primary

Addresses

Primary practice location

145 Riverstone Ter
Canton, GA 30114-5317

Mailing address

145 Riverstone Ter
Canton, GA 30114-5317
Phone (404) 824-7121

Other identifiers 2

IdentifierTypeStateIssuer
202I130631OtherGAMEDICARE ID
003133133EMedicaidGA

National Provider Directory

National Provider Directory

Locations

145 Riverstone Ter
Canton, GA 30114
Phone (404) 824-7121

Interoperability endpoints

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

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": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1407221658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RIVERSTONE TER",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145317",
            "telephone_number": "404-824-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 RIVERSTONE TER",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145317",
            "telephone_number": "404-824-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NEUROLOGICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "KHURRAM",
        "authorized_official_first_name": "SAIMA",
        "authorized_official_title_or_position": "PHYSICAIN",
        "authorized_official_telephone_number": "404-824-7121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "69470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "202I130631",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133133E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.