Organization Active NPI

Neil Kahn M.D.

  • Geriatric Psychiatry Physician
  • Decatur, GA
National Provider Identifier
1467634915
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
30489 Issued in GA
Legal business name
NEIL KAHN M.D.
Practice address
2711 Irvin Way
Suite 211
Decatur, GA 30030-5405
Phone
(404) 501-0001
NPI assigned
Nov 27, 2007
Organization subpart
Yes
Parent organization
NEIL KAHN M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Neil Andrew Kahn, M.D.NPI 1831190602
Title
Owner
Phone
(404) 501-0001

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
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X 30489 GA Primary

Addresses

Primary practice location

2711 Irvin Way
Suite 211
Decatur, GA 30030-5405

Mailing address

2711 Irvin Way
Suite 211
Decatur, GA 30030-5405
Phone (404) 501-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000821 GA Part B Supplier - Clinic/Group Practice 3476542200 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

National Provider Directory

National Provider Directory
Part of
Neil a Kahn MD PC

Locations

2711 Irvin Way
Ste 211
Decatur, GA 30030
Phone (404) 501-0001

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1467634915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 IRVIN WAY",
            "address_2": "SUITE 211",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305405",
            "telephone_number": "404-501-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 IRVIN WAY",
            "address_2": "SUITE 211",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305405",
            "telephone_number": "404-501-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL KAHN M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIL KAHN M.D.",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-501-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "GA",
            "license": "30489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.