Active NPI
Cleveland Neurologic Clinic, PA
- Neurology Physician
- Shelby, NC
National Provider Identifier
1669428959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 729676
- Legal business name
- CLEVELAND NEUROLOGIC CLINIC, PA
- Practice address
- 1180 Wyke Rd
Suite B
Shelby, NC 28150-4259 - Phone
- (704) 471-9895
- Fax
- (704) 471-9200
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry Martin
- Title
- Physician/Owner
- Phone
- (704) 471-9895
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 729676 | NC | Primary |
Addresses
Primary practice location
1180 Wyke Rd
Suite B
Shelby, NC 28150-4259
Mailing address
1180 Wyke Rd
Suite B
Shelby, NC 28150-4259
Phone (704) 471-9895
National Provider Directory
National Provider DirectoryLocations
1180 Wyke Rd
#B
Shelby, NC 28150
Phone (704) 471-9895
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Charlotte, NC
- NPI 1235139411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225929600000",
"number": "1669428959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 WYKE RD",
"address_2": "SUITE B",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504259",
"telephone_number": "704-471-9895",
"fax_number": "704-471-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 WYKE RD",
"address_2": "SUITE B",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504259",
"telephone_number": "704-471-9895",
"fax_number": "704-471-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND NEUROLOGIC CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2008-11-06",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "704-471-9895",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "729676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
- Cleveland Health Ventures, LLC (Shelby Children's Clinic)
- Cleveland Health Ventures, LLC (Carolinas Hospitalist Group - Cleveland)
- Cleveland Home Health Agency
- Cleveland Intervention and Support Services, Inc
- Cleveland Medical Associates, PA Dba Piedmont Family Care
- Cleveland of County (Cleveland Co. Health Dept Behavioral Health)
- Cleveland Physical Therapy Assoc II
- Cleveland Physical Therapy Associates Inc
- Cleveland Psychosocial Service, Inc.
- Cleveland Psychosocial Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.