Evoked Ionm, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

EVOKED IONM, LLC

Practice address

6458 Meridian Way
Sandy Springs, GA 30328-2895

Phone

(678) 524-7388

Fax

(470) 407-6969

NPI assigned

Aug 8, 2018

Last updated

Apr 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amit ShahNPI 1790028769

Title

President, Chief Medical Officer

Phone

(678) 524-7388

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amit Deepak Shah, M.D.

  • Neurology Physician
  • Sandy Springs, GA
  • NPI 1790028769
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1487133740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6458 MERIDIAN WAY",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6458 MERIDIAN WAY",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282895",
            "telephone_number": "678-524-7388",
            "fax_number": "470-407-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOKED IONM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT, CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "678-524-7388"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.