Westside Neurology and Concussion Clinic LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

WESTSIDE NEUROLOGY AND CONCUSSION CLINIC LLC

Practice address

5398 Thomaston Rd
Macon, GA 31220-8110

Phone

(706) 288-8280

NPI assigned

May 20, 2021

Last updated

May 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel D Quaynor, MD, PH.D

Title

Physician

Phone

(706) 288-8280

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Nii Djangmah Quaynor, MD

  • Neurology Physician
  • Gainesville, GA
  • NPI 1215319710
  NPD

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1639744998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 THOMASTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208110",
            "telephone_number": "706-288-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 THOMASTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208110",
            "telephone_number": "706-288-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE NEUROLOGY AND CONCUSSION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "QUAYNOR",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-288-8280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PH.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten West
• Laresa D West, NP
• Lauren Elizabeth West, PMHNP-BC
• Micaela Moreau West, ACNPC-AG
• Elizabeth Westmoreland, PA
• Corey Lynne Wetzel, LPC
• Stacey R. Whalen, FNP-C
• Savanna Charmaine Whatley, RBT
• Andrew Michael Wheeler, APRN
• Melanie Wheeler, NP-C

• Neurology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.