Organization Active NPI

Houston Physician Specialists, LLC

Doing business as Houston Neurology Associates

  • Neurology Physician
  • Warner Robins, GA
National Provider Identifier
1699471383
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
HOUSTON PHYSICIAN SPECIALISTS, LLC
Doing business as
Houston Neurology Associates
Practice address
1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone
(478) 352-4304
Fax
(478) 975-6652
NPI assigned
Feb 3, 2023
Organization subpart
Yes
Parent organization
HOUSTON PHYSICIAN SPECIALISTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Sean Steven Whilden
Title
VP/Cfo
Phone
(478) 542-7959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1601 Watson Blvd
Warner Robins, GA 31093-3431

Mailing address

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 352-4304

Other names 1

  • Houston Neurology Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170413001281 GA Part B Supplier - Clinic/Group Practice 6800172461 Receives reassigned benefits from 8 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bonaire, GA; Warner Robins, GA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Houston Physician Specialists LLC

Locations

233 N Houston Rd
Ste 101
Warner Robins, GA 31093
Phone (478) 352-7010

Practitioners & affiliated clinicians

Practitioners 9

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": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1699471383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933431",
            "telephone_number": "478-352-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933431",
            "telephone_number": "478-352-4304",
            "fax_number": "478-975-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON PHYSICIAN SPECIALISTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSTON PHYSICIAN SPECIALISTS, LLC",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "WHILDEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "478-542-7959"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Neurology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Houston Neurology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.