Organization Active NPI

Neuroworks Healthcare LLC

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1972091460
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEUROWORKS HEALTHCARE LLC
Practice address
3939 Roswell Rd Ste 240
Marietta, GA 30062-6285
Phone
(404) 229-5392
Fax
(888) 268-3101
NPI assigned
Apr 30, 2018
Last updated
Apr 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Benjamin Behrendt, DCNPI 1407291461
Title
Owner
Phone
(404) 229-5392

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

3939 Roswell Rd Ste 240
Marietta, GA 30062-6285

Mailing address

3939 Roswell Rd Ste 240
Marietta, GA 30062-6285
Phone (404) 229-5392

National Provider Directory

National Provider Directory

Locations

3939 Roswell Rd
Ste 240
Marietta, GA 30062
Phone (678) 403-4660

Practitioners & affiliated clinicians

Practitioners 1

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": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1972091460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 ROSWELL RD STE 240",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626285",
            "telephone_number": "404-229-5392",
            "fax_number": "888-268-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ROSWELL RD STE 240",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626285",
            "telephone_number": "404-229-5392",
            "fax_number": "888-268-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROWORKS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "BEHRENDT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-229-5392",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.