NEUROLOGY CENTER PLLC (NPI# 1063897668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063897668 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY CENTER PLLC |
| Practice Address |
1750 Memorial Dr Suite C Clarksville TN 37043-6356 |
| Mailing Address |
2000 Queens Bluff Way Clarksville TN 37043-4858 |
| Practice Telephone | 9319054144 |
| Practice Fax Number | 9319054143 |
| Mailing Telephone | 9319054144 |
| Mailing Fax Number | 9319054143 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | DR. JACQUELINE ROSE ANSELL (SOLE PROPRIETOR) |
| Authorized Official Telephone | 9319054144 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | 41086 | TN | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
41086 | TN | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
41086 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1750 MEMORIAL DR SUITE C |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-6356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861723066 | Kimberly A. Thomas | Nurse Practitioner | 1750 Memorial Dr, Suite B, Clarksville, TN 37043-6356 | 2010-01-27 |
| 1679966717 | Caring Family Practice | Clinic/Center | 1750 Memorial Dr, Suite B, Clarksville, TN 37043-6356 | 2015-03-13 |
| 1952653511 | Jennifer Kunkel | Nurse Practitioner | 1750 Memorial Dr, Clarksville, TN 37043-6356 | 2012-10-08 |
| 1144526377 | Sleep Professionals, LLC | Clinic/Center | 1750 Memorial Dr, Clarksville, TN 37043-6356 | 2011-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811930571 | Alan F Bachrach | Psychiatry & Neurology | 271 Med Park Dr, Clarksville, TN 37043-6310 | 2006-06-13 |
| 1023335270 | Northwest Neurological Associates Pllc | Psychiatry & Neurology | 298 Clear Sky Ct, Suite F, Clarksville, TN 37043-5685 | 2010-04-28 |
| 1548300916 | Maqbool Ahmed | Psychiatry & Neurology | 298 Clear Sky Ct, Suite F, Clarksville, TN 37043-5685 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304530 | West Tn Neurology Clinic Pllc | Psychiatry & Neurology | 6570 Stage Rd Ste 202, Bartlett, TN 38134-2840 | 2019-03-06 |
| 1356873814 | Neurolocums Lc | Psychiatry & Neurology | 915 Hampstead Ln, Murfreesboro, TN 37129-1354 | 2017-04-03 |
| 1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
| 1861873846 | Rashi Krishnan | Psychiatry & Neurology | 1265 Union Avenue Dept of Neurology, Memphis, TN 38104 | 2015-06-15 |
| 1154717262 | Kayla Dawn Bowden | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 305, Cordova, TN 38018-4225 | 2015-04-15 |
| 1164841326 | Beth Anne Cavanaugh | Psychiatry & Neurology | 848 Adams Ave Ste 400l, Memphis, TN 38103-2816 | 2014-04-15 |
| 1255759288 | Lauren Emily Mccollum | Psychiatry & Neurology | 1932 Alcoa Hwy Ste 150, Knoxville, TN 37920-1532 | 2014-04-07 |
| 1881037240 | Adam Nagy | Psychiatry & Neurology | 3930 The Vanderbilt Clinic, 1301 Medical Center Drive, Nashville, TN 37232-5400 | 2013-04-16 |
| 1538424072 | East Tn Neurology LLC | Psychiatry & Neurology | 2253 Chambliss Ave. Nw, Suite 405, Cleveland, TN 37311-3861 | 2012-07-11 |
| 1629332143 | Sabrina Ahmed | Psychiatry & Neurology | 1800 Medical Center Pkwy Ste 410, Murfreesboro, TN 37129-3182 | 2012-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.