Organization Active NPI

Georgia Neuropathy LLC

  • General Practice Physician
  • Marietta, GA
National Provider Identifier
1649544800
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GEORGIA NEUROPATHY LLC
Practice address
3834 Austell Rd SW
Suite C
Marietta, GA 30008-5869
Phone
(404) 630-1582
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Keith BraswellNPI 1730268525
Title
Administrator
Phone
(404) 630-1582

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3834 Austell Rd SW
Suite C
Marietta, GA 30008-5869

Mailing address

3834 Austell Rd SW
Suite C
Marietta, GA 30008-5869
Phone (404) 630-1582

National Provider Directory

National Provider Directory

Locations

3834 Austell Rd SW
Ste C
Marietta, GA 30008
Phone (404) 401-9000

3834 Austell Rd SW
Marietta, GA 30008
Phone (404) 630-1582

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": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1649544800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 AUSTELL RD SW",
            "address_2": "SUITE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085869",
            "telephone_number": "404-630-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 AUSTELL RD SW",
            "address_2": "SUITE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085869",
            "telephone_number": "404-630-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA NEUROPATHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "BRASWELL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-630-1582"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.