Neuro Edx, LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

NEURO EDX, LLC

Practice address

29488 Woodward Avenue
Suite 429
Royal Oak, MI 48073

Phone

(678) 780-6242

Fax

(877) 711-7411

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. George Petryk, DCNPI 1477551430

Title

Manager

Phone

(678) 780-6242

Specialties & licenses 1

Addresses

Practitioners 1

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

• George S Petryk, DC,DACNB,FACFN,FABES

  • Neurology Chiropractor
  • Cumming, GA
  • NPI 1477551430
  NPD Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1407347743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 MATT HWY STE 502-125",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30028",
            "telephone_number": "678-780-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29488 WOODWARD AVENUE",
            "address_2": "SUITE 429",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "678-780-6242",
            "fax_number": "877-711-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO EDX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-02-05",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "PETRYK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-780-6242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Nelson
• Lauren E. Nemitz, CRNA
• Zhaniela Nence
• Cody Jace Michael Neumann
• Kurt Harrison Neumann, M.D.
• Neuro-Ophthalmic Services, P.C
• Neurological PT Solutions, PLLC
• Neurology and Sleep Services PC
• New Beginnings Center, LLC
• New Path Holistic Psychotherapy PLLC

• Electrodiagnostic Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Electrodiagnostic Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.