Neurology Clinic of Coastal Georgia, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

045042 Issued in GA

Legal business name

NEUROLOGY CLINIC OF COASTAL GEORGIA, LLC

Practice address

7000 Wellness Way
Suite 7210
St Simons Island, GA 31522-2286

Phone

(912) 634-4849

Fax

(912) 634-4850

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. J Scott Brickman, M.D.NPI 1306849831

Title

Physician/Owner

Phone

(912) 634-4849

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• J Scott Brickman, M.D.

  • Specialist
  • Tifton, GA
  • NPI 1306849831
  NPD (past) Authorized official

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1760701056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 WELLNESS WAY",
            "address_2": "SUITE 7210",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222286",
            "telephone_number": "912-634-4849",
            "fax_number": "912-634-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 WELLNESS WAY",
            "address_2": "SUITE 7210",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222286",
            "telephone_number": "912-634-4849",
            "fax_number": "912-634-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CLINIC OF COASTAL GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "BRICKMAN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "912-634-4849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "045042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne R. Mericle, D.M.D.
• Michael Timothy Miller, MPT
• Robert Dancy Millican, OD
• Victoria Monti, OT
• Olivia Grace Naegle
• New Journey Support Services Inc
• New Path Counseling Services, LLC
• New Visions Inc.
• Nutrisource Nutritional Services, Inc.
• Shannon Dawn O'Quinn, PTA

• Neurology Physician in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.