Active NPI
Juncos Neuro Consulting, LLC
- Neurology Physician
- Cumming, GA
National Provider Identifier
1902664576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- JUNCOS NEURO CONSULTING, LLC
- Practice address
- 1100 Northside Forsyth Dr Ste 210
Cumming, GA 30041-6016 - Phone
- (470) 239-3602
- Fax
- (404) 698-3463
- NPI assigned
- Mar 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jorge Luis Juncos
- Title
- Managing Member
- Phone
- (470) 239-3602
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
1100 Northside Forsyth Dr Ste 210
Cumming, GA 30041-6016
Mailing address
1100 Northside Forsyth Dr Ste 210
Cumming, GA 30041-6016
Phone (470) 239-3602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240604002762 | GA | Part B Supplier - Clinic/Group Practice | 7618419797 |
Receives reassigned benefits from 1 practitioner Practice locations: Cumming, GA |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1709856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1902664576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NORTHSIDE FORSYTH DR STE 210",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416016",
"telephone_number": "470-239-3602",
"fax_number": "404-698-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NORTHSIDE FORSYTH DR STE 210",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416016",
"telephone_number": "470-239-3602",
"fax_number": "404-698-3463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNCOS NEURO CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "JUNCOS",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "470-239-3602",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- Christina Joseph, RBT
- Joy Counseling & Play Therapy
- Joy in the Journey Counseling LLC
- Joy Personal Care Home
- Joy Therapy and Learning Center LLC
- Jorge Luis Juncos, M.D.
- Elizabeth Jurgens, M.D.
- Danielle Jurkovich, MSSW
- Kaiser Foundation Health Plan of Georgia Inc.
- Kaiser Foundation Health Plan of Georgia, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.