Highland Neurology, Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

200000774 Issued in NC

Legal business name

HIGHLAND NEUROLOGY, INC

Practice address

2509 Richardson Dr Ste a
Reidsville, NC 27320-5926

Phone

(336) 347-7998

Fax

(336) 348-6745

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kofi Adeleke Doonquah, M.D.

Title

Physician

Phone

(336) 347-7998

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1548267453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 RICHARDSON DR STE A",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205926",
            "telephone_number": "336-347-7998",
            "fax_number": "336-348-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 RICHARDSON DR STE A",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205926",
            "telephone_number": "336-347-7998",
            "fax_number": "336-348-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND NEUROLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "DOONQUAH",
        "authorized_official_first_name": "KOFI",
        "authorized_official_middle_name": "ADELEKE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "336-347-7998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "200000774",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101226371",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MEDICAID",
            "identifier": "7117485",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127VG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.