NPIMap

Organization Active NPI

PGP Professional Readers, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Stockbridge, GA
National Provider Identifier
1619344702
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
PGP PROFESSIONAL READERS, LLC
Practice address
275 Corporate Center Dr Ste D
Stockbridge, GA 30281-7377
Phone
(214) 295-6703
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Mr. Keith A Thomas
Title
Ceo
Phone
(214) 295-6703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

275 Corporate Center Dr Ste D
Stockbridge, GA 30281-7377

Mailing address

275 Corporate Center Dr Ste D
Stockbridge, GA 30281-7377
Phone (214) 295-6703

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1619344702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CORPORATE CENTER DR STE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817377",
            "telephone_number": "214-295-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CORPORATE CENTER DR STE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817377",
            "telephone_number": "214-295-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGP PROFESSIONAL READERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-295-6703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.