Organization Active NPI

Neurology and Epilepsy Clinic

  • Neurology Physician
  • Shelbyville, TN
National Provider Identifier
1629148309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY AND EPILEPSY CLINIC
Practice address
841 Union St
Suite 204
Shelbyville, TN 37160-2610
Phone
(931) 685-9830
Fax
(931) 685-9230
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nabil Atalla, MDNPI 1306026653
Title
President
Phone
(931) 685-9830

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 TN Primary

Addresses

Primary practice location

841 Union St
Suite 204
Shelbyville, TN 37160-2610

Mailing address

841 Union St
Suite 204
Shelbyville, TN 37160-2610
Phone (931) 685-9830

Other identifiers 2

IdentifierTypeStateIssuer
3082220MedicaidTN
3088152OtherTNBLUE CROSS BLUE SHIELD

Other names 1

  • DR NABIL ATALLA MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Nabil Atalla MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629148309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 UNION ST",
            "address_2": "SUITE 204",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602610",
            "telephone_number": "931-685-9830",
            "fax_number": "931-685-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 UNION ST",
            "address_2": "SUITE 204",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602610",
            "telephone_number": "931-685-9830",
            "fax_number": "931-685-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND EPILEPSY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATALLA",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-685-9830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082220",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3088152",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR NABIL ATALLA MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.