Organization Active NPI

Neurology and Headache Specialists of Atl, LLC

  • Neurology Physician
  • Decatur, GA
National Provider Identifier
1992738637
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY AND HEADACHE SPECIALISTS OF ATL, LLC
Practice address
2665 North Decatur Road
Ste 630
Decatur, GA 30033-4167
Phone
(404) 294-3040
Fax
(404) 294-3050
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Martha Lu West
Title
Office Manager
Phone
(404) 294-3040

Specialties & licenses 1

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

Addresses

Primary practice location

2665 North Decatur Road
Ste 630
Decatur, GA 30033-4167

Mailing address

2665 North Decatur Road
Ste 630
Decatur, GA 30033-4167
Phone (404) 294-3040

National Provider Directory

National Provider Directory

Locations

2665 N Decatur Rd
Ste 630
Decatur, GA 30033
Phone (404) 294-3040

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992738637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 NORTH DECATUR ROAD",
            "address_2": "STE 630",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334167",
            "telephone_number": "404-294-3040",
            "fax_number": "404-294-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 NORTH DECATUR ROAD",
            "address_2": "STE 630",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334167",
            "telephone_number": "404-294-3040",
            "fax_number": "404-294-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND HEADACHE SPECIALISTS OF ATL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-294-3040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.