Georgia Neurodiagnostic & Treatment Center LLC.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

GEORGIA NEURODIAGNOSTIC & TREATMENT CENTER LLC.

Practice address

3859 Postal Dr Ste 100
Duluth, GA 30096-3211

Phone

(678) 878-2989

Fax

(678) 878-2990

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Dong M Wang, HONG YANGNPI 1497905913

Title

Billing

Phone

(678) 878-2989

Specialties & licenses 1

Addresses

Other names 1

• Neurology Specialists of GA Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Dong Wang, M.D.

  • Neurology Physician
  • Duluth, GA
  • NPI 1497905913
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1922417633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 POSTAL DR STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963211",
            "telephone_number": "678-878-2989",
            "fax_number": "678-878-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3859 POSTAL DR STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963211",
            "telephone_number": "678-878-2989",
            "fax_number": "678-878-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 Upper Riverdale Rd SW Ste F",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742579",
            "country_code": "US",
            "telephone_number": "678-878-2990",
            "fax_number": "678-878-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIA NEURODIAGNOSTIC & TREATMENT CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "678-878-2989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "HONG YANG"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology Specialists of GA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.