NPIMap

Individual provider Active NPI

Elizabeth Garcia Lopez de Victoria, MD

  • Neurology Physician
  • Palmetto Bay, FL
National Provider Identifier
1689795510
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
52493 Issued in KY
Practice address
9025 SW 160 Terrace
Palmetto Bay, FL 33157
Phone
(615) 345-5400
NPI assigned
Apr 2, 2007
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 201601 LA
Neurology Physician 2084N0400X 057622 GA
Neurology Physician 2084N0400X 52493 KY Primary
Neurology Physician 2084N0400X 103040 FL
Clinical Neurophysiology Physician 2084N0600X 52493 KY

Addresses

Primary practice location

9025 SW 160 Terrace
Palmetto Bay, FL 33157

Mailing address

3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone (615) 345-5400

Other practice location 1

740 S Limestone
Lexington, KY 40536-0001
Phone (859) 323-5661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090306000453 FL Practitioner - Neurology 8921192154 Reassigns benefits to 2 organizations
I20240719001994 GA Practitioner - Neurology 8921192154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remote Neuromonitoring Physicians PCGroup PAC ID 1355495961, 36 clinicians
Sentient Physicians, P.C.Group PAC ID 2668764333, 37 clinicians

Practice addresses (Care Compare)

9025 SW 160TH Ter
Palmetto Bay, FL 33157-3596
Phone (800) 348-4565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103040FLMDNeurology Physician
057622GAMDNeurology Physician
52493KYMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remote Neuromonitoring Physicians ,PC Neurology CurrentSince Apr 1, 2017 Accepting new patients
Sentient Physicians, P.C. Neurology CurrentSince Dec 3, 2016 Accepting new patients
The Emory Clinic Inc CurrentSince Apr 14, 2024 Accepting new patients
Southeast Neuroscience Center, LLC PastSince Sep 17, 2007 Accepting new patients
Emory Health Care Neurology Past Accepting new patients
Tenet Florida Physician Services LLC PastSince Aug 23, 2020 Accepting new patients
Tenet Florida Physician Services, LLC Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

3 Maryland Farms
Ste 200
Brentwood, TN 37027
Phone (615) 346-8733

Interoperability endpoints

  • Direct secure messaging: egarcialopezdevictoria596320@direct.shands.ufl.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1689795510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARYLAND FARMS STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275780",
            "telephone_number": "615-345-5400",
            "fax_number": "888-468-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 SW 160 TERRACE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "615-345-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-323-5661",
            "fax_number": "859-323-6411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA LOPEZ DE VICTORIA",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "201601",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "057622",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "52493",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "103040",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "KY",
            "license": "52493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.