Middle Georgia Neurology, LLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

041352 Issued in GA

Legal business name

MIDDLE GEORGIA NEUROLOGY, LLC

Practice address

1101 Russell Pkwy
Warner Robins, GA 31088-5537

Phone

(478) 923-3535

Fax

(478) 923-3573

NPI assigned

Sep 28, 2007

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdul Qadir, MDNPI 1992718100

Title

Owner/Physician

Phone

(478) 923-3535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Abdul Qadir, MD

  • Neurology Physician
  • Warner Robins, GA
  • NPI 1992718100

  Neurology With Special Qualifications in Child Neurology

  Medicare reassignment NPD Authorized official
• Lori Tylynn Rooks, AGNP-C

  • Nurse Practitioner
  • Warner Robins, GA
  • NPI 1427755131
  NPD (past)

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1982891453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885537",
            "telephone_number": "478-923-3535",
            "fax_number": "478-923-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885537",
            "telephone_number": "478-923-3535",
            "fax_number": "478-923-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "QADIR",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "478-923-3535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "GA",
            "license": "041352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middle Georgia Diagnostic Lab
• Middle Georgia Diagnostic Lab
• Middle Georgia Family
• Middle Georgia Medical Associates, P.C.
• Middle Georgia Mental Health, LLC
• Middle Georgia OB/GYN,PC
• Middle Georgia Psychological Services, LLC
• Middle Georgia Pulmonary, LLC
• Middle Georgia Surgical Institute
• Middle Georgia Urology, Inc

• Neurology with Special Qualifications in Child Neurology Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.