Greenville Neurology Center, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

16065 Issued in MS

Legal business name

GREENVILLE NEUROLOGY CENTER, LLC

Practice address

1502 S Colorado St
Greenville, MS 38703-7219

Phone

(662) 332-9872

Fax

(662) 332-9878

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad A Ahmed, M.D.

Title

Owner

Phone

(662) 332-9872

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1730446303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037219",
            "telephone_number": "662-332-9872",
            "fax_number": "662-332-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037219",
            "telephone_number": "662-332-9872",
            "fax_number": "662-332-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE NEUROLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-332-9872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "16065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119831",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "512I130029",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenville Eye Clinic P.a.
• Greenville Family Clinic Inc
• Greenville Family Medical Center Inc
• Greenville Hem-Onc PC
• Greenville Neuro Diagnostic Center, P.C.
• Greenville Primary Care II
• Greenville Radiology, Inc
• Greenville Specialty Clinic
• Greenville Surgical Clinic
• Greenville Urology Group LLC

• Neurology Physician in Greenville, MS
• Providers in Greenville, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.