West Georgia Neurology and Neurodiagnostics, P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2084N0400X Issued in GA

Legal business name

WEST GEORGIA NEUROLOGY AND NEURODIAGNOSTICS, P.C.

Practice address

2300 Manchester Expy
St Francis Medical Park, H-103
Columbus, GA 31904-6802

Phone

(706) 571-0121

Fax

(706) 571-0124

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jose A. Canedo, M.D.NPI 1306979828

Title

Solo Practitioner/Owner

Phone

(706) 571-0121

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Alfonso Canedo, MD

  • Neurology Physician
  • Columbus, GA
  • NPI 1306979828
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1730326778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "ST FRANCIS MEDICAL PARK, H-103",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-571-0121",
            "fax_number": "706-571-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "ST FRANCIS MEDICAL PARK, H-103",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-571-0121",
            "fax_number": "706-571-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA NEUROLOGY AND NEURODIAGNOSTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "CANEDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOLO PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "706-571-0121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "2084N0400X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000416435A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009304610",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Central Georgia Regional Hospital
• West Central Georgia Regional Hospital
• West Georgia Eye Care Center, PA
• West Georgia Hearing Services, LLC
• West Georgia Medical Associates
• West Georgia Optical, LLC
• West Georgia Orthodontics
• West Georgia Pediatric Partners, LLC
• West Georgia Regenerative Medicine LLC
• Brittany Reese West, DPT

• Health Service Clinic/Center in Columbus, GA
• Providers in Columbus, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.