Organization Active NPI

Atlanta Neuromuscular Diagnostics, LLC

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1740317346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
032493 Issued in GA
Legal business name
ATLANTA NEUROMUSCULAR DIAGNOSTICS, LLC
Practice address
550 Peachtree St NE Ste 1575
Atlanta, GA 30308-2254
Phone
(404) 586-0442
Fax
(404) 586-0520
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jacqueline M Washington, MDNPI 1407857485
Title
Sole Member
Phone
(404) 586-0442

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 032493 GA Primary

Addresses

Primary practice location

550 Peachtree St NE Ste 1575
Atlanta, GA 30308-2254

Mailing address

PO Box 54145
Atlanta, GA 30308-0145
Phone (404) 586-0442

National Provider Directory

National Provider Directory

Locations

550 Peachtree St NE
Ste 1575
Atlanta, GA 30308
Phone (404) 586-0442

743 Old Norcross Rd
Lawrenceville, GA 30046
Phone (404) 683-5240

11 Upper Riverdale Rd SW
#1
Riverdale, GA 30274

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740317346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303080145",
            "telephone_number": "404-586-0442",
            "fax_number": "404-586-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1575",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082254",
            "telephone_number": "404-586-0442",
            "fax_number": "404-586-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA NEUROMUSCULAR DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "404-586-0442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "032493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.