Active NPI
Premier Neurological Care
- Neurology Physician
- Canton, GA
National Provider Identifier
1407221658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 69470
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saima Khurram, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I130631 | Other | GA | MEDICARE ID |
| 003133133E | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
145 Riverstone Ter
Canton, GA 30114
Phone (404) 824-7121
Interoperability endpoints
- 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.
-
- Neurology Physician
- Canton, GA
- NPI 1710149455
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.