Organization Active NPI

Neurology Specialists of Georgia, P.C.

  • Medical Specialty Clinic/Center
  • Gainesville, GA
National Provider Identifier
1922204361
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
041890 Issued in GA
Legal business name
NEUROLOGY SPECIALISTS OF GEORGIA, P.C.
Practice address
1498 Jesse Jewell Pkwy SE
Suite a
Gainesville, GA 30501-3852
Phone
(770) 771-6916
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Edward F McDonald Jr., M.D.NPI 1376658641
Title
President
Phone
(770) 771-6916

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 041890 GA Primary

Addresses

Primary practice location

1498 Jesse Jewell Pkwy SE
Suite a
Gainesville, GA 30501-3852

Mailing address

1498 Jesse Jewell Pkwy SE
Suite a
Gainesville, GA 30501-3852
Phone (770) 771-6916

Other identifiers 1

IdentifierTypeStateIssuer
000707462EMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & 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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1922204361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 JESSE JEWELL PKWY SE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013852",
            "telephone_number": "770-771-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 JESSE JEWELL PKWY SE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013852",
            "telephone_number": "770-771-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY SPECIALISTS OF GEORGIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-771-6916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "041890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000707462E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.