NPIMap

Organization Active NPI

Atlanta Headache Specialists

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1740558485
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ATLANTA HEADACHE SPECIALISTS
Practice address
5887 Glenridge Dr NE
Suite 140
Atlanta, GA 30328-5574
Phone
(678) 278-9798
Fax
(800) 652-2920
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Frank Berenson, MDNPI 1689740987
Title
President
Phone
(678) 278-9798

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 GA Primary

Addresses

Primary practice location

5887 Glenridge Dr NE
Suite 140
Atlanta, GA 30328-5574

Mailing address

5887 Glenridge Dr NE
Suite 140
Atlanta, GA 30328-5574
Phone (678) 278-9798

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2038516Panda Neurology and Atlanta Headache Specialists5887 Glenridge Drive, Suite 140, Atlanta, GA 30328Certificate of waiverMar 20, 2028

National Provider Directory

National Provider Directory

Locations

5887 Glenridge Dr
Ste 140
Sandy Springs, GA 30328
Phone (678) 278-9798

Practitioners & affiliated clinicians

Practitioners 3

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1740558485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DR NE",
            "address_2": "SUITE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285574",
            "telephone_number": "678-278-9798",
            "fax_number": "800-652-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 GLENRIDGE DR NE",
            "address_2": "SUITE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285574",
            "telephone_number": "678-278-9798",
            "fax_number": "800-652-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA HEADACHE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "BERENSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-278-9798",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": null,
            "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 Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.