THE NEUROLOGICAL CENTER OF EAST GEORGIA PC (NPI# 1184737728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184737728 |
Entity Type | Organization |
Organization Name | THE NEUROLOGICAL CENTER OF EAST GEORGIA PC |
Other Organization Name | STATESBORO NEUROLOGICAL CENTER |
Practice Address |
1601 Fair Road Suite 400 Cotton Ridge Medical Plaza Statesboro GA 30458-1699 |
Mailing Address |
1601 Fair Road Suite 400 Statesboro GA 30458-1699 |
Practice Telephone | 9128718900 |
Practice Fax Number | 9128718901 |
Mailing Telephone | 9128718900 |
Mailing Fax Number | 9128718901 |
Enumeration Date | 2006-08-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. GINA MICHELE TAORMINA (ADMINISTRATOR) |
Authorized Official Telephone | 9128718900 |
Authorized Official Credential | MBA MHA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
040258 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | BCBS | 52676473001 | 01 |
SC | MEDICAID | GPA675 | 01 |
Other Name | Type Code |
---|---|
Statesboro Neurological Center | Former Legal Business Name - Organization |
Street Address |
1601 FAIR ROAD SUITE 400 COTTON RIDGE MEDICAL PLAZA |
City | STATESBORO |
State | GA |
Zip Code | 30458-1699 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760549919 | Stacey Basquin | Physician Assistant | 1601 Fair Road, Suite 600 Cotton Ridge Medical Plaza, Statesboro, GA 30458 | 2007-01-03 |
1710044557 | Andrew Vincent Cichelli | Internal Medicine | 1601 Fair Road, Suite 600 Cotton Ridge Medical Plaza, Statesboro, GA 30458 | 2007-01-02 |
1821166240 | Harsh Bhushan | Internal Medicine | 1601 Fair Road, #900, Statesboro, GA 30458 | 2006-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
Find all providers in zip 30458 |
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 |
---|---|---|---|---|
1629257787 | Michael Anthony Taormina | Psychiatry & Neurology | 1601 Fair Rd, Suite 400, Statesboro, GA 30458-1698 | 2007-10-25 |
1700947231 | Kashyap Patel | Psychiatry & Neurology | 1497 Fair Rd, Suite 201, Statesboro, GA 30458-0822 | 2006-12-12 |
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 |
1164882635 | Lafayette Neurology, PC | Psychiatry & Neurology | 1075 Lafayette Parkway, Suite 210, Lagrange, GA 30241-3584 | 2016-02-26 |
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 |
Find all providers with the same taxonomy |
City | STATESBORO |
Zip Code | 30458 |
Please comment or provide details below to improve the information on THE NEUROLOGICAL CENTER OF EAST GEORGIA PC.
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.