NPIMap

Organization Active NPI

Neurological Institute for Concussion and Headache

  • Neuromusculoskeletal Medicine & OMM Physician
  • Roswell, GA
National Provider Identifier
1811544158
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
NEUROLOGICAL INSTITUTE FOR CONCUSSION AND HEADACHE
Practice address
11650 Alpharetta Hwy Ste 100
Roswell, GA 30076-3805
Phone
(470) 365-8855
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Dr. Alan Maloon, MDNPI 1093808057
Title
Physician
Phone
(470) 365-8855

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
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

11650 Alpharetta Hwy Ste 100
Roswell, GA 30076-3805

Mailing address

11650 Alpharetta Hwy Ste 100
Roswell, GA 30076-3805
Phone (470) 365-8855

Other practice location 1

780 Canton Rd NE Ste 205
Marietta, GA 30060-7242
Phone (470) 365-8855

Other practice location 2

50 Plaza Way NW Ste B
Marietta, GA 30060-1141
Phone (470) 365-8855

Other names 1

  • Neurological Institute for Concussion and Headache Doing business as

National Provider Directory

National Provider Directory

Locations

50 Plaza Way NW
Ste B
Marietta, GA 30060
Phone (470) 365-8855

Practitioners & affiliated clinicians

Practitioners 1

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": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1811544158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 ALPHARETTA HWY STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763805",
            "telephone_number": "470-365-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 ALPHARETTA HWY STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763805",
            "telephone_number": "470-365-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Canton Rd NE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300607242",
            "country_code": "US",
            "telephone_number": "470-365-8855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Plaza Way NW Ste B",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601141",
            "country_code": "US",
            "telephone_number": "470-365-8855",
            "fax_number": "404-301-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGICAL INSTITUTE FOR CONCUSSION AND HEADACHE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "MALOON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "470-365-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurological Institute for Concussion and Headache",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurological Institute for Concussion and Headache",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.