Neurology and Neurodiagnostic LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

64438 Issued in GA

Legal business name

NEUROLOGY AND NEURODIAGNOSTIC LLC

Practice address

1497 Fair Rd
Statesboro, GA 30458-0822

Phone

(912) 486-1140

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Kashyap Patel, MDNPI 1700947231

Title

Owner

Phone

(912) 481-9945

Specialties & licenses 1

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.

• Kashyap Patel, M.D.

  • Clinical Neurophysiology Physician
  • Statesboro, GA
  • NPI 1700947231
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1508393208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1639",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30459",
            "telephone_number": "912-486-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580822",
            "telephone_number": "912-486-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND NEURODIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KASHYAP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-481-9945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "GA",
            "license": "64438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Neeley, PA-C
• Robert G Neil, LPC
• Kristen Leigh Neitz
• Mildred Nelson, PT
• Kacy H. Nesmith, FNP
• Diane Hodges Neville, RN,BSN
• New Destiny Personal Home (New Destiny Personal Care Home One Inc)
• Laura C Newton, MT
• Leslie C Newton, PT
• Khoa D Nguyen, MD

• Clinical Neurophysiology Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Clinical Neurophysiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.