NPIMap

Organization Active NPI

North Georgia Neurological Clinic PC

  • Neurology Physician
  • Lawrenceville, GA
National Provider Identifier
1922167360
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
035789 Issued in GA
Legal business name
NORTH GEORGIA NEUROLOGICAL CLINIC PC
Practice address
600 Professional Drive
Suite 110
Lawrenceville, GA 30046-7638
Phone
(770) 995-0555
Fax
(770) 995-0682
NPI assigned
Dec 8, 2006
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Mrs. Susan A Williamson
Title
Business Manager
Phone
(770) 995-0555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X
Neurology Physician 2084N0400X 035789 GA Primary

Addresses

Primary practice location

600 Professional Drive
Suite 110
Lawrenceville, GA 30046-7638

Mailing address

600 Professional Drive
Suite 110
Lawrenceville, GA 30046-7638
Phone (770) 995-0555

National Provider Directory

National Provider Directory

Locations

600 Professional Dr
Ste 110
Lawrenceville, GA 30046
Phone (770) 995-0555

Practitioners & affiliated clinicians

Practitioners 3

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1922167360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DRIVE",
            "address_2": "SUITE 110",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467638",
            "telephone_number": "770-995-0555",
            "fax_number": "770-995-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DRIVE",
            "address_2": "SUITE 110",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467638",
            "telephone_number": "770-995-0555",
            "fax_number": "770-995-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA NEUROLOGICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-995-0555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "035789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.