Active NPI
Atlanta Neuro Care PC
- Neurology Physician
- Conyers, GA
National Provider Identifier
1720536584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- ATLANTA NEURO CARE PC
- Practice address
- 1372 Wellbrook Cir NE
Conyers, GA 30012-3872 - Phone
- (770) 274-3378
- Fax
- (770) 274-3489
- NPI assigned
- Sep 21, 2016
- Last updated
- Apr 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Tesfaye
- Title
- President/Ceo
- Phone
- (770) 274-3378
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 67614 | GA | |
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
1372 Wellbrook Cir NE
Conyers, GA 30012-3872
Mailing address
PO Box 542
Conyers, GA 30012-0542
Phone (770) 274-3428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1368 Wellbrook Cir NE
Ste A
Conyers, GA 30012
Phone (770) 274-3378
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Neurology Physician
- Conyers, GA
- NPI 1023033065
-
- Family Nurse Practitioner
- Conyers, GA
- NPI 1114759032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775779200000",
"number": "1720536584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 542",
"city": "CONYERS",
"state": "GA",
"postal_code": "300120542",
"telephone_number": "770-274-3428",
"fax_number": "770-274-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1372 WELLBROOK CIR NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123872",
"telephone_number": "770-274-3378",
"fax_number": "770-274-3489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA NEURO CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-21",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A",
"authorized_official_last_name": "TESFAYE",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "770-274-3378"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "GA",
"license": "67614",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.