ADVANCED NEUROSURGERY ASSOCIATES LLC (NPI# 1356959969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356959969 |
| Entity Type | Organization |
| Organization Name | ADVANCED NEUROSURGERY ASSOCIATES LLC |
| Practice Address |
1000 Johnson Ferry Rd Atlanta GA 30342-1606 |
| Mailing Address |
1000 Johnson Ferry Road Attn: Jorge Hernandez Atlanta GA 30342-1611 |
| Practice Telephone | 4048518000 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MR. JORGE HERNANDEZ (CCO) |
| Authorized Official Telephone | 4048518000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1000 JOHNSON FERRY RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180184 | Simrin Robinson | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-10-08 |
| 1679189617 | Mikayla Laughlin | Anesthesiologist Assistant | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-09-16 |
| 1356955538 | Tracey Willis | Student in an Organized Health Care Education/Training Program | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-09-03 |
| 1467077545 | Nancy Pavuk | Nurse Practitioner | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-06-14 |
| 1053936468 | Kara Ashley De Souza | Nurse Practitioner | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1611 | 2020-06-11 |
| 1518588326 | Jessica Cisneros | Radiology | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1611 | 2020-05-03 |
| 1154952356 | Hanieh Shirgir Rotell | Registered Nurse | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-01-28 |
| 1427694140 | Brooke Hubbard | Anesthesiologist Assistant | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2019-11-19 |
| 1346883824 | Kacie Williams Kluball | Nurse Practitioner | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2019-10-28 |
| 1306489463 | Michael Tucker | Anesthesiologist Assistant | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2019-10-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720408 | Jonathan Lau | Neurological Surgery | 1365 Clifton Rd Ne Ste B6168, Atlanta, GA 30322-1013 | 2020-01-31 |
| 1790129088 | David Taylor Pearce | Neurological Surgery | 101 Woodruff Cir Suite 6000, Atlanta, GA 30322-0001 | 2013-04-17 |
| 1932467594 | Kumar Vasudevan | Neurological Surgery | 980 Johnson Ferry Rd Ste 490, Atlanta, GA 30342-1607 | 2012-05-01 |
| 1316203805 | Kunal Gupta | Neurological Surgery | Emory Hospital 1364 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1407146772 | Nicholas Au Yong | Neurological Surgery | 1365b Clifton Rd Ne Ste 6200, Atlanta, GA 30322-1013 | 2011-04-07 |
| 1275763591 | Aqueel Hussain Pabaney | Neurological Surgery | Emory University Neurosurgery 1365 Clifton Road Ne, Atlanta, GA 30322-1226 | 2009-07-21 |
| 1720213895 | Steven Mark Spitz | Neurological Surgery | 57 Executive Park S # 2000, Orthopaedics and Spine Center, Atlanta, GA 30329-2288 | 2009-05-19 |
| 1124268313 | Nettleton S Payne II | Neurological Surgery | 3586 Tuxedo Park Nw, Atlanta, GA 30305-1041 | 2009-02-27 |
| 1326120866 | Polaris Spine and Neurosurgery Center | Neurological Surgery | 1150 Hammond Dr., Bldg E #400, Atlanta, GA 30328 | 2006-10-20 |
| 1154413011 | David Cory Adamson | Neurological Surgery | 1365 Clifton Rd Ne Ste 2200, Atlanta, GA 30322-0001 | 2006-09-29 |
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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.