Organization Active NPI

Palmyra Brain & Spine Center, LLC

  • Neurological Surgery Physician
  • Albany, GA
National Provider Identifier
1467775734
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on Jun 9, 2010

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.