Organization Active NPI

Atlanta Neuropathy Clinic

  • Adult Health Nurse Practitioner
  • Dunwoody, GA
National Provider Identifier
1699447904
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
ATLANTA NEUROPATHY CLINIC
Doing business as
Atlanta Neuropathy Clinic
Practice address
1872 Independence SQ Ste a
Dunwoody, GA 30338-5170
Phone
(678) 218-8115
Fax
(877) 247-9857
NPI assigned
Oct 5, 2021
Last updated
Feb 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2024

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

Authorized official

Name
Ms. Denise Miller-Tso, NPNPI 1538509872
Title
Nurse Practitioner
Phone
(678) 218-8115

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
Adult Health Nurse Practitioner 363LA2200X NU Primary

Addresses

Primary practice location

1872 Independence SQ Ste a
Dunwoody, GA 30338-5170

Mailing address

2845 Townley Cir
Atlanta, GA 30340-4825
Phone (678) 218-8115

Other names 1

  • Atlanta Neuropathy Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211116002053 GA Part B Supplier - Clinic/Group Practice 4486043221 Receives reassigned benefits from 1 practitioner
Practice locations: Dunwoody, GA

National Provider Directory

National Provider Directory

Locations

1872 Independence Sq
Ste A
Dunwoody, GA 30338
Phone (404) 274-8914

4505 Ashford Dunwoody Rd NE
Ste 15B
Dunwoody, GA 30346
Phone (337) 692-4016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707004800000",
    "number": "1699447904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 TOWNLEY CIR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404825",
            "telephone_number": "678-218-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 INDEPENDENCE SQ STE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385170",
            "telephone_number": "678-218-8115",
            "fax_number": "877-247-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA NEUROPATHY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A",
        "authorized_official_last_name": "MILLER-TSO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "678-218-8115",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Neuropathy Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlanta Neuropathy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.