Individual provider Active NPI

Carl Billian, M.D.

  • Neurology Physician
  • Calhoun, GA
National Provider Identifier
1679557953
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
042180 Issued in GA
Practice address
1035 Red Bud Rd NE
Suite 102
Calhoun, GA 30701-2077
Phone
(706) 879-4789
Fax
(706) 879-5769
NPI assigned
Dec 1, 2005
Last updated
Apr 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 042180 GA Primary

Addresses

Primary practice location

1035 Red Bud Rd NE
Suite 102
Calhoun, GA 30701-2077

Mailing address

1035 Red Bud Rd NE
Suite 102
Calhoun, GA 30701-2077
Phone (706) 879-4789

Other identifiers 2

IdentifierTypeStateIssuer
00710498AMedicaidGA
000710498UMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042180GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Wellness Diagnostics Past Accepting new patients
Coosa Neurology PC Neurology PastSince Jan 1, 2008 Accepting new patients
Cartersville Wellness Diagnostics Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1679557953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 RED BUD RD NE",
            "address_2": "SUITE 102",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012077",
            "telephone_number": "706-879-4789",
            "fax_number": "706-879-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 RED BUD RD NE",
            "address_2": "SUITE 102",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012077",
            "telephone_number": "706-879-4789",
            "fax_number": "706-879-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLIAN",
        "first_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "042180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00710498A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000710498U",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.