Active NPI
Neuro Diagnostic Group LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 59870
- Legal business name
- NEURO DIAGNOSTIC GROUP LLC
- Practice address
- 200 Galleria Pkwy SE Ste 100
Atlanta, GA 30339-5944 - Phone
- (855) 411-2225
- Fax
- (800) 886-1731
- NPI assigned
- Aug 30, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Offer Danan, DC
- Title
- Ceo
- Phone
- (770) 695-5500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 59870 | GA | Primary |
Addresses
Primary practice location
200 Galleria Pkwy SE Ste 100
Atlanta, GA 30339-5944
Mailing address
200 Galleria Pkwy SE Ste 100
Atlanta, GA 30339-5944
Phone (855) 411-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679765523 | Other | GA | NEUROLOGY |
National Provider Directory
National Provider DirectoryLocations
200 Galleria Pkwy SE
Ste 100
Atlanta, GA 30339
Phone (770) 444-0076
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Atlanta, GA
- NPI 1598009342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1760900708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GALLERIA PKWY SE STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395944",
"telephone_number": "855-411-2225",
"fax_number": "800-886-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GALLERIA PKWY SE STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395944",
"telephone_number": "855-411-2225",
"fax_number": "800-886-1731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO DIAGNOSTIC GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DANAN",
"authorized_official_first_name": "OFFER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-695-5500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "59870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEUROLOGY",
"identifier": "1679765523",
"state": "GA"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.