Organization Active NPI

Children's Neurology Ctr Macon, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Macon, GA
National Provider Identifier
1932485125
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
44127 Issued in GA
Legal business name
CHILDREN'S NEUROLOGY CTR MACON, LLC
Practice address
840 Pine St
Ste 970
Macon, GA 31201-2100
Phone
(478) 750-8880
Fax
(478) 750-8860
NPI assigned
Nov 1, 2011
Last updated
Feb 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Joseph Trasmonte, M.D.NPI 1194708487
Title
Proprietor
Phone
(478) 750-8880

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
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 44127 GA Primary

Addresses

Primary practice location

840 Pine St
Ste 970
Macon, GA 31201-2100

Mailing address

840 Pine St
Suite 970
Macon, GA 31201-2100
Phone (478) 750-8880

Other identifiers 3

IdentifierTypeStateIssuer
706246275AMedicaidGA
000755917EMedicaidGA
706246275BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041022000453 GA Part B Supplier - Clinic/Group Practice 3476514423 Receives reassigned benefits from 1 practitioner
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

100 Wheatley Dr
Ste 304
Americus, GA 31709
Phone (229) 928-2299

840 Pine St
Ste 970
Macon, GA 31201
Phone (478) 633-8383

Practitioners & affiliated clinicians

Practitioners 2

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": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1932485125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "SUITE 970",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-750-8880",
            "fax_number": "478-750-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "STE 970",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-750-8880",
            "fax_number": "478-750-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S NEUROLOGY CTR MACON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "TRASMONTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "478-750-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "GA",
            "license": "44127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706246275A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000755917E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706246275B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.