Organization Active NPI

Albany Neurology and Headache Center

  • Neurology Physician
  • Albany, GA
National Provider Identifier
1528241833
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
059106 Issued in GA
Legal business name
ALBANY NEUROLOGY AND HEADACHE CENTER
Practice address
701 14TH Ave
Albany, GA 31701-1301
Phone
(229) 888-3266
Fax
(229) 888-3267
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Kalpesh Patel, MDNPI 1831396803
Title
Provider/MD
Phone
(229) 888-3266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 059106 GA Primary

Addresses

Primary practice location

701 14TH Ave
Albany, GA 31701-1301

Mailing address

701 14TH Ave
Albany, GA 31701-1301
Phone (229) 888-3266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000074 GA Part B Supplier - Clinic/Group Practice 9830288042 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, GA

National Provider Directory

National Provider Directory

Locations

810 13th Ave
Ste 106
Albany, GA 31701
Phone (229) 878-0404

Practitioners & affiliated clinicians

Practitioners 2

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": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1528241833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 14TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011301",
            "telephone_number": "229-888-3266",
            "fax_number": "229-888-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 14TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011301",
            "telephone_number": "229-888-3266",
            "fax_number": "229-888-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY NEUROLOGY AND HEADACHE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KALPESH",
        "authorized_official_title_or_position": "PROVIDER/MD",
        "authorized_official_telephone_number": "229-888-3266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "059106",
            "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 Jul 21, 2015; 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.