Organization Active NPI

Neurology of North Georgia PC

  • Neurology Physician
  • Lawrenceville, GA
National Provider Identifier
1982874244
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
021746 Issued in GA
Legal business name
NEUROLOGY OF NORTH GEORGIA PC
Practice address
601 Professional Dr # a
Ste 160
Lawrenceville, GA 30045-7698
Phone
(678) 376-4242
Fax
(678) 376-4545
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. James Edmonds McDaniel, M.D.
Title
President
Phone
(678) 376-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 021746 GA Primary

Addresses

Primary practice location

601 Professional Dr # a
Ste 160
Lawrenceville, GA 30045-7698

Mailing address

601 Professional Dr # a
Ste 160
Lawrenceville, GA 30045-7698
Phone (678) 376-4242

National Provider Directory

National Provider Directory

Locations

601 Professional Dr
Ste 160
Lawrenceville, GA 30046
Phone (678) 376-4242

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1982874244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DR # A",
            "address_2": "STE 160",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457698",
            "telephone_number": "678-376-4242",
            "fax_number": "678-376-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DR # A",
            "address_2": "STE 160",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457698",
            "telephone_number": "678-376-4242",
            "fax_number": "678-376-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY OF NORTH GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDMONDS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-376-4242",
        "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": "021746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.