Neighbormd of Newnan LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NEIGHBORMD OF NEWNAN LLC

Practice address

770 Greison TRL
Newnan, GA 30263-6408

Phone

(770) 251-4120

Fax

(770) 251-4575

NPI assigned

Nov 6, 2020

Last updated

Aug 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Romanello

Title

Coo

Phone

(352) 459-3661

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Crosslinks Family Practice, LLC

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1295131530

  O20210805001965

  Same enrollment
• Neighbormd of Atlanta LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1902407752

  O20210805001965

  Same enrollment
• Neighbormd of South Atlanta LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1285235036

  O20210805001965

  Same enrollment

Tax ID family

Neighbormd of Atlanta LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Crosslinks Family Practice, LLC

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1295131530
  NPD tax ID
• Neighbormd of Atlanta LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1902407752
  NPD tax ID

Locations

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.

• Adeniyi Caxton Babalola, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1497793970
  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1861093718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 GREISON TRL",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636408",
            "telephone_number": "770-251-4120",
            "fax_number": "770-251-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 GREISON TRL",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636408",
            "telephone_number": "770-251-4120",
            "fax_number": "770-251-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORMD OF NEWNAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "ROMANELLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "352-459-3661"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pradeepkumar Reddy Nalla, MD
• Roseline Nzekwa Nanah, FNP-C
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Nava Rheumatology, LLC
• Jared Nedd, RBT
• Onyebuchi Neita, PA-C
• Barry Sheldon Nelms, CAA
• Brenda L Nelson-Porter, ND
• Derrick Nelson
• Reneisha Nelson

• General Practice Physician in Newnan, GA
• Providers in Newnan, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.