NPIMap

Organization Active NPI

Northwest Neurology, P.C.

  • Neurology Physician
  • Austell, GA
National Provider Identifier
1942360912
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
012499 Issued in GA
Legal business name
NORTHWEST NEUROLOGY, P.C.
Practice address
4460 Austell Rd
Austell, GA 30106-1844
Phone
(770) 941-4716
Fax
(770) 941-3047
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Dr. Gary Jay Kaplan, M.D.
Title
Financial Officer
Phone
(770) 819-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 012499 GA Primary

Addresses

Primary practice location

4460 Austell Rd
Austell, GA 30106-1844

Mailing address

3875 Austell Rd
Suite 204
Austell, GA 30106-1103
Phone (770) 819-1717

Other identifiers 1

IdentifierTypeStateIssuer
CB2386OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

3875 Austell Rd
Ste 204
Austell, GA 30106
Phone (770) 819-1717

4460 Austell Rd
Austell, GA 30106
Phone (770) 941-4716

1700 Hospital South Dr
Ste 403
Austell, GA 30106
Phone (770) 941-4716

880 Crestmark Dr
Ste 105
Lithia Spgs, GA 30122
Phone (770) 941-9590

2520 Windy Hill Rd SE
Ste 107
Marietta, GA 30067
Phone (770) 952-0255

Practitioners & affiliated clinicians

Practitioners 11

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1942360912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 AUSTELL RD",
            "address_2": "SUITE 204",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061103",
            "telephone_number": "770-819-1717",
            "fax_number": "770-819-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061844",
            "telephone_number": "770-941-4716",
            "fax_number": "770-941-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST NEUROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "770-819-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "012499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB2386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.