Buckhead Neuro Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BUCKHEAD NEURO GROUP

Practice address

925 Woodstock Rd Ste 250
Roswell, GA 30075-2209

Phone

(561) 704-6781

Fax

(561) 209-0868

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Randy Herfield

Title

Ceo

Phone

(561) 704-6781

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1972210789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14280 S MILITARY TRL UNIT 7838",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334825083",
            "telephone_number": "561-704-6781",
            "fax_number": "561-209-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WOODSTOCK RD STE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752209",
            "telephone_number": "561-704-6781",
            "fax_number": "561-209-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD NEURO GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "HERFIELD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-704-6781"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Abdi Buck, APRN, FNP-BC
• Ryan Joseph Buck, BA
• John William Buckelew Jr.
• Buckhead Behavioral Health (North Atlanta Behavioral Health)
• Buckhead Chiropractic & Wellness
• Christopher M Buckley, D.O.
• Elisha W. Buckley, D.D.S.
• Elizabeth Shea Buckley, BCBA
• Sydney Buffington
• Lauren Buice, APC, NCC

• Multi-Specialty Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.