Neurology South PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROLOGY SOUTH PC

Practice address

1050 Eagles Landing Pkwy
Ste 203
Stockbridge, GA 30281

Phone

(770) 474-4875

Fax

(770) 474-1469

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raghuram Kolanu, MD

Title

President

Phone

(770) 474-4875

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Raghuarm Kolanu, MD

  • Neurology Physician
  • Stockbridge, GA
  • NPI 1740328996
  Medicare reassignment NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861530016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2877",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-474-4875",
            "fax_number": "770-474-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 EAGLES LANDING PKWY",
            "address_2": "STE 203",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-474-4875",
            "fax_number": "770-474-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY SOUTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLANU",
        "authorized_official_first_name": "RAGHURAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-474-4875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Nelson
• Victoria Nelson, CCC-SLP
• Trevean Nesfield-Brown, LCSW
• Lance Alfrred Netland, TH.M.
• Neurocare Institute of Georgia
• New Covenant Counseling Care
• New Era Counseling & Educational Services LLC
• New Generation Health Services, Inc.
• New Horizons Healthcare Agency LLC
• New Novis Inc

• Neurology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.