Seyed M Emadian, MD PH D

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

90688 Issued in GA

Practice address

1525 Chattanooga Rd
Dalton, GA 30720-8379

Phone

(706) 529-7124

Fax

(706) 529-7126

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles S. Theofilos MD PA

  • Neurological Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1841242823
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1679510705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 CHATTANOOGA RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208379",
            "telephone_number": "706-529-7124",
            "fax_number": "706-529-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CHATTANOOGA RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208379",
            "telephone_number": "706-529-7124",
            "fax_number": "706-529-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMADIAN",
        "first_name": "SEYED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "36263",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "90688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA TN",
            "identifier": "1668295",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "140007979",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003259702",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1187701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3874687",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS TN",
            "identifier": "4038597",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Ellis, LPC
• Leslie Elaine Ellis, PHD
• Chelsea Elrod
• Jim G. Elrod, RPH
• Kirsty J Elwell, PA-C
• Jamil Hilal Refat Enab, M.D.
• Enhanced Family Physio LLC
• Carly Paige Ensley, CCC-SLP
• Deirdre W Ensley, FNP, BC
• Lori K Epps

• Neurological Surgery Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.