COOSA NEUROLOGY PC (NPI# 1316115538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316115538 |
| Entity Type | Organization |
| Organization Name | COOSA NEUROLOGY PC |
| Practice Address |
20 Riverbend Dr Sw Rome GA 30161-6066 |
| Practice Telephone | 7062950070 |
| Practice Fax Number | 7062951618 |
| Mailing Telephone | 7062950070 |
| Mailing Fax Number | 7062951618 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2009-09-11 |
| Authorized Official Name | MRS. NANCY C SMITH (OFFICE MGR) |
| Authorized Official Telephone | 7062385465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
20 RIVERBEND DR SW |
| City | ROME |
| State | GA |
| Zip Code | 30161-6066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952385254 | Louis A Dinatti | Emergency Medicine | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2005-12-01 |
| 1639309065 | Brown Family Medicine, LLC | Family Medicine | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2009-07-20 |
| 1174784912 | Rome Neurospinal Center PC | Neurological Surgery | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2008-06-24 |
| 1124200100 | Coosa Neurosurgery PC | Neurological Surgery | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2007-11-30 |
| 1932311123 | North Georgia Nephrology Associates PC | Internal Medicine | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2007-05-03 |
| 1104905074 | Hamid Reza Chimeh | Internal Medicine | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2006-11-03 |
| 1588698054 | Kevin E Brown | Family Medicine | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2006-07-10 |
| 1104800390 | Victor Jason Tucker | Physician Assistant | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| 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 |
|---|---|---|---|---|
| 1487074647 | Alzhacare LLC | Psychiatry & Neurology | 5 Saddle Trl Se, Rome, GA 30161-6829 | 2014-04-25 |
| 1952523375 | David Allen Hale | Psychiatry & Neurology | 550 Redmond Road, Rome, GA 30165 | 2007-05-03 |
| 1225216864 | Brian Corey Hard | Psychiatry & Neurology | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2008-02-06 |
| 1831311588 | Glady Jacob | Psychiatry & Neurology | 267 Hill Rd, Suite 100, Rome, NY 13441-4203 | 2007-05-03 |
| 1063531416 | Redmond Hospital Services LLC | Psychiatry & Neurology | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2007-03-28 |
| 1871658054 | Jay Alan Schecter | Psychiatry & Neurology | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-27 |
| 1144381500 | Jeffrey Thurman Glass | Psychiatry & Neurology | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-12 |
| 1114017969 | Gangadhar Madupu | Psychiatry & Neurology | 1617 N James St, Rome, NY 13440-2852 | 2006-10-13 |
| 1134103997 | William K Naguszewski | Psychiatry & Neurology | 126 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2005-12-05 |
| 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 | ||||
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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.