North Atlanta Neuropsychology, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY003287 Issued in GA

Legal business name

NORTH ATLANTA NEUROPSYCHOLOGY, LLC

Practice address

1134 Satellite Blvd NW
Suite 100a
Suwanee, GA 30024-4370

Phone

(678) 878-3559

Fax

(678) 878-3556

NPI assigned

Apr 17, 2014

Last updated

Apr 21, 2016By 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

Norman Lee, PH.D.NPI 1689736175

Title

Owner

Phone

(470) 297-5114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

LD Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• L&D Medical Center, LLC

  • Family Nurse Practitioner
  • Powder Springs, GA
  • NPI 1225647274
  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.

• Norman Lee, PHD

  • Psychologist
  • Suwanee, GA
  • NPI 1689736175
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1881014801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 SATELLITE BLVD NW",
            "address_2": "SUITE 100A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244370",
            "telephone_number": "678-878-3559",
            "fax_number": "678-878-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 SATELLITE BLVD NW",
            "address_2": "SUITE 100A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244370",
            "telephone_number": "678-878-3559",
            "fax_number": "678-878-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTA NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-297-5114",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "PSY003287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Nissley, DDS
• Tina Marie Niziurski, LCSW
• Tianna Nobles, RBT
• Carrie Smith Nold, PA-C
• Aileen M Norden, M.D.
• North Atlanta Vascular Clinic, PC
• North Atlanta Women's Care, PC
• North Georgia Audiology and Hearing Aid Center, LLC
• North Georgia Colon and Rectal Surgery, LLC
• North Gwinnett Counseling Associates, LLC

• Clinical Neuropsychologist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Clinical Neuropsychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.