Active NPI
Premier Neurosurgical Institute, LLC
- Specialist
- Marietta, GA
National Provider Identifier
1508185265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 023819
- Legal business name
- PREMIER NEUROSURGICAL INSTITUTE, LLC
- Practice address
- 211 Chicopee Dr NE
Marietta, GA 30060-1269 - Phone
- (678) 872-8750
- NPI assigned
- May 20, 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
- Mr. Vernon E Spellman Sr.
- Title
- Practice Administrator
- Phone
- (678) 872-8755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 023819 | GA | Primary |
Addresses
Primary practice location
211 Chicopee Dr NE
Marietta, GA 30060-1269
Mailing address
PO Box 4370
Marietta, GA 30061-4370
Phone (678) 872-8755
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Roswell, GA
- NPI 1962479956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430265600000",
"number": "1508185265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4370",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300614370",
"telephone_number": "678-872-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 CHICOPEE DR NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601269",
"telephone_number": "678-872-8750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER NEUROSURGICAL INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-20",
"last_updated": "2015-04-29",
"status": "A",
"authorized_official_last_name": "SPELLMAN",
"authorized_official_first_name": "VERNON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "678-872-8755",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "GA",
"license": "023819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Preferred Practice Therapy PC
- Preferred Vascular Services Northwest, LLC
- Premier Ambulatory Surgical Center, LLC
- Premier Billing & Collections
- Premier Nephrology and Hypertension LLC
- Premier Podiatry-East Cobb
- Premier Spa & Wellness
- Premiere Medical Company, Inc.
- Premise Health of Georgia Medical PC
- Premise Health of Georgia Medical, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.