Active NPI
Palmyra Brain & Spine Center, LLC
- Neurological Surgery Physician
- Albany, GA
National Provider Identifier
1467775734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- PALMYRA BRAIN & SPINE CENTER, LLC
- Practice address
- 2002 Palmyra Rd
Suite 202
Albany, GA 31701-1591 - Phone
- (478) 474-4343
- Fax
- (229) 420-1471
- NPI assigned
- Mar 1, 2010
- 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
- Gary Duncan
- Title
- Vice President
- Phone
- (615) 372-5135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
2002 Palmyra Rd
Suite 202
Albany, GA 31701-1591
Mailing address
2002 Palmyra Rd
Suite 202
Albany, GA 31701-1591
Phone (229) 420-1464
National Provider Directory
National Provider DirectoryLocations
2002 Palmyra Rd
Ste 202
Albany, GA 31701
Phone (229) 336-6206
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": "1267401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276041600000",
"number": "1467775734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 PALMYRA RD",
"address_2": "SUITE 202",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011591",
"telephone_number": "229-420-1464",
"fax_number": "229-420-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 PALMYRA RD",
"address_2": "SUITE 202",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011591",
"telephone_number": "478-474-4343",
"fax_number": "229-420-1471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMYRA BRAIN & SPINE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-01",
"last_updated": "2010-06-09",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "615-372-5135"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.