LAFAYETTE NEUROLOGY, PC (NPI# 1164882635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164882635 |
| Entity Type | Organization |
| Organization Name | LAFAYETTE NEUROLOGY, PC |
| Practice Address |
1075 Lafayette Parkway Suite 210 Lagrange GA 30241-3584 |
| Practice Telephone | 7063505525 |
| Practice Fax Number | 7063505295 |
| Mailing Telephone | 7063505525 |
| Mailing Fax Number | 7063505295 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | RAMONA BURNSIDE (OFFICE MGR.) |
| Authorized Official Telephone | 7063505525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
58107 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1075 LAFAYETTE PARKWAY SUITE 210 |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30241-3584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851748172 | Medventures Physical Therapy, LLC | Physical Therapist | 1075 Lafayette Parkway, Ste 220, Lagrange, GA 30241 | 2016-05-17 |
| 1154784205 | Med Ventures Mri, LLC | Radiology | 1075 Lafayette Parkway, Ste 120, Lagrange, GA 30241 | 2016-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
| 1235303686 | Atlas Neck & Back Center | Chiropractor | 309 N. Morgan St., Suite A, Lagrange, GA 30241 | 2008-04-16 |
| 1578756565 | Richard Freeman Simmons | Dentist | 2219 B West Point Rd, Dr Richard F Simmons, Lagrange, GA 30241 | 2007-08-22 |
| 1013071851 | Troup County School District | Local Education Agency (LEA) | 100 North Davis Road, Lagrange, GA 30241 | 2006-12-19 |
| 1437514965 | Holly Renee Abbott | Counselor | 104 Harwell Ave, Lagrange, GA 30241 | 2015-12-29 |
| 1386780104 | Andre D Feria Md | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2007-01-29 |
| 1356354500 | Mohd Khairul Anam | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2006-08-15 |
| 1417914052 | Troup County Health Department | Public Health or Welfare | 1220 Hogansville Rd, Department of Family and Childrens Services Health Cent, Lagrange, GA 30241 | 2006-04-27 |
| 1275730806 | Lagrange Urgent Care Inc. | Emergency Medicine | Po Box 3258, Lagrange, GA 30241-0066 | 2007-06-28 |
| 1336512250 | Wonza Denise Crowder | Licensed Practical Nurse | 372 Youngs Mill Rd, G, Lagrange, GA 30241-1387 | 2015-11-02 |
| Find all providers in zip 30241 | ||||
| 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 |
|---|---|---|---|---|
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1316128457 | Peter Ping Lee Md PC | Psychiatry & Neurology | 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130 | 2007-11-16 |
| 1922103621 | Neurology Center of West Georgia PC | Psychiatry & Neurology | 300 Medical Dr, Suite 700, Lagrange, GA 30240-4130 | 2006-09-14 |
| 1922062058 | Robert J. Greer | Psychiatry & Neurology | 303 Smith St, Lagrange, GA 30240 | 2006-04-14 |
| 1205828993 | Peter Ping Lee | Psychiatry & Neurology | 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544899 | Southern Neurology, Physical Medicine & Rehabilitation, LLC | Psychiatry & Neurology | 4913 Lanes Pond Rd, Valdosta, GA 31601-1537 | 2020-03-24 |
| 1912474537 | Atlanta Neuromonitoring, LLC | Psychiatry & Neurology | 922 Highway 81 East # 242, Mcdonough, GA 30252 | 2018-11-01 |
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1407349103 | Ahmed Babiker | Psychiatry & Neurology | 1130 15th St, Augusta, GA 30912-0004 | 2018-06-07 |
| 1811342561 | The Migraine and Spine Clinic of Valdosta LLC | Psychiatry & Neurology | 3315 N Valdosta Rd, Suite A, Valdosta, GA 31602-1107 | 2016-05-02 |
| 1144601048 | Catherine Lockhart | Psychiatry & Neurology | 2470 Daniels Bridge Rd Ste 261, Athens, GA 30606-6188 | 2015-06-16 |
| 1609266634 | Bruce Gillett | Psychiatry & Neurology | 948 Greymont Cir Nw, Marietta, GA 30064-1328 | 2015-01-29 |
| 1245620244 | Darla R Totten Md | Psychiatry & Neurology | 3780 Northside Dr, 197, Macon, GA 31210-2431 | 2015-01-28 |
| 1033516356 | Neuro Proread Solutions | Psychiatry & Neurology | 2378 Riderwood Court, Marietta, GA 30062-4689 | 2014-12-02 |
| 1649680844 | Adam Dickey | Psychiatry & Neurology | 49 Jesse Hill Jr Dr Se Ste 470, Atlanta, GA 30303-3049 | 2014-04-28 |
| Find all providers with the same taxonomy | ||||
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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.