NPIMap

Organization Active NPI

Neurological Associates of Rutherford, PLLC

  • Neurology Physician
  • Rutherfordton, NC
National Provider Identifier
1598808354
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGICAL ASSOCIATES OF RUTHERFORD, PLLC
Practice address
153 W Court St
Rutherfordton, NC 28139-2804
Phone
(828) 288-0880
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Anne M Jackson, M.D.
Title
Owner
Phone
(828) 288-0880

Specialties & licenses 1

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

Addresses

Primary practice location

153 W Court St
Rutherfordton, NC 28139-2804

Mailing address

PO Box 591
Rutherfordton, NC 28139-0591
Phone (828) 288-0880

Other identifiers 1

IdentifierTypeStateIssuer
891139EMedicaidNC

National Provider Directory

National Provider Directory

Locations

153 W Court St
Rutherfordton, NC 28139
Phone (828) 288-0880

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1598808354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281390591",
            "telephone_number": "828-288-0880",
            "fax_number": "828-288-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W COURT ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392804",
            "telephone_number": "828-288-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL ASSOCIATES OF RUTHERFORD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-288-0880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891139E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.