NPIMap

Organization Active NPI

Legacy Brain & Spine LLC

Doing business as Legacy Brain & Spine LLC - Rome

  • Neurological Surgery Physician
  • Rome, GA
National Provider Identifier
1841030467
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
LEGACY BRAIN & SPINE LLC
Doing business as
Legacy Brain & Spine LLC - Rome
Practice address
1013 N 5TH Ave NE Ste 3
Rome, GA 30165-2664
Phone
(770) 291-8987
NPI assigned
May 30, 2024
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Said Elshihabi, MDNPI 1467477463
Title
Owner
Phone
(770) 291-8987

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
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

1013 N 5TH Ave NE Ste 3
Rome, GA 30165-2664

Mailing address

1900 The Exchange SE Ste 200
Atlanta, GA 30339-2022
Phone (770) 291-8987

Other names 1

  • Legacy Brain & Spine LLC - Rome Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Legacy Brain Spine LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1013 N 5th Ave NE
Ste 3
Rome, GA 30165
Phone (706) 291-7360

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.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1841030467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 THE EXCHANGE SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392022",
            "telephone_number": "770-291-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N 5TH AVE NE STE 3",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652664",
            "telephone_number": "770-291-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY BRAIN & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "ELSHIHABI",
        "authorized_official_first_name": "SAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-291-8987",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Brain & Spine LLC - Rome",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.