Active NPI
Lagrange Neurology Corporation
- Neurology Physician
- Lagrange, GA
National Provider Identifier
1932409224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- LAGRANGE NEUROLOGY CORPORATION
- Practice address
- 300 Medical Dr
Suite 701
Lagrange, GA 30240-4130 - Phone
- (706) 882-0552
- Fax
- (706) 882-0599
- NPI assigned
- Nov 2, 2010
- 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
- Ms. Paige Bass Hunt
- Title
- Office Manager
- Phone
- (706) 882-0552
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
300 Medical Dr
Suite 701
Lagrange, GA 30240-4130
Mailing address
300 Medical Dr
Suite 701
Lagrange, GA 30240-4130
Phone (706) 882-0552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
3840 Peachtree Industrial Blvd
Duluth, GA 30096
Phone (404) 255-4242
300 Medical Dr
Ste 701
Lagrange, GA 30240
Phone (706) 882-0552
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Lagrange, GA
- NPI 1205828993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585180800000",
"number": "1932409224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MEDICAL DR",
"address_2": "SUITE 701",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404130",
"telephone_number": "706-882-0552",
"fax_number": "706-882-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL DR",
"address_2": "SUITE 701",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404130",
"telephone_number": "706-882-0552",
"fax_number": "706-882-0599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAGRANGE NEUROLOGY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-02",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A",
"authorized_official_last_name": "BASS HUNT",
"authorized_official_first_name": "PAIGE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-882-0552",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.