Tennessee Valley Neurological Associates PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

TENNESSEE VALLEY NEUROLOGICAL ASSOCIATES PC

Practice address

8484 Wann Dr NW Ste a
Madison, AL 35758-9545

Phone

(256) 963-9444

Fax

(256) 963-9446

NPI assigned

May 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Theodros Mengesha, MDNPI 1184771909

Title

Medical Doctor

Phone

(256) 963-9444

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodros Mengesha, MD

  • Neurology Physician
  • Madison, AL
  • NPI 1184771909

  Specialist

  Medicare reassignment NPD Authorized official
• Lawren Brinley, PA

  • Medical Physician Assistant
  • Madison, AL
  • NPI 1821982745
  Medicare reassignment NPD

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731801600000",
    "number": "1538696802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WANN DR NW STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589545",
            "telephone_number": "256-963-9444",
            "fax_number": "256-963-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WANN DR NW STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589545",
            "telephone_number": "256-963-9444",
            "fax_number": "256-963-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY NEUROLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "MENGESHA",
        "authorized_official_first_name": "THEODROS",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "256-963-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Leslie Taylor, LPC
• Meredith Syx Taylor, DPT
• Montana Patrice Taylor
• Tee Counseling Services
• Tennessee Valley Internal Medicine, PC
• Teresa Cargile LPC LLC
• Terry a. Burgess
• Kaitlyn Terry, PHARM D.
• Frances Kathleen Tharpe, BCBA, LBA
• The Crafted Path, LLC

• Neurology Physician in Madison, AL
• Providers in Madison, AL by specialty
• Neurology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.