REAGAN MEDICAL CENTER (NPI# 1457968372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457968372 |
| Entity Type | Organization |
| Organization Name | REAGAN MEDICAL CENTER |
| Practice Address |
1295 Hembree Rd Ste 200 Roswell GA 30076-5721 |
| Mailing Address |
2878 Five Forks Trickum Rd Ste 2a Lawrenceville GA 30044-5896 |
| Practice Telephone | 6783448700 |
| Mailing Telephone | 6789992299 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | SATISH B PODDAR (CEO) |
| Authorized Official Telephone | 6783448700 |
| Is Organization Subpart | Y |
| Parent Organization Name | REAGAN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388231 | Reagan Medical Center | Clinic/Center | 426 Exchange Blvd Ste 500, Bethlehem, GA 30620-1797 | 2020-08-24 |
| 1003426628 | Reagan Medical Center | Neurological Surgery | 1241 Friendship Rd Ste 110, Braselton, GA 30517-5609 | 2020-08-07 |
| 1285255216 | Reagan Medical Center | Neurological Surgery | 11780 Northfall Ln, Alpharetta, GA 30009-7964 | 2020-04-30 |
| 1467771832 | Reagan Medical Center | Specialist | 10160 Medlock Bridge Rd, Suite 100, Johns Creek, GA 30097-4419 | 2010-05-25 |
| 1649365750 | Reagan Medical Center | Family Medicine | 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | 2006-10-04 |
| 1952316747 | Reagan Medical Center | Neurological Surgery | 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 | 2006-07-30 |
| Street Address |
1295 HEMBREE RD STE 200 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| 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 |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1932468063 | Benjamin M Zussman | Neurological Surgery | 2500 Hospital Blvd Ste 310, Roswell, GA 30076-4947 | 2012-05-09 |
| 1174789416 | Dave Jason Seecharan | Neurological Surgery | 1295 Hembree Rd Ste B200, Roswell, GA 30076-4958 | 2008-08-06 |
| 1588932669 | Georgia Spectrum Neurosurgical Specialists, LLC | Neurological Surgery | 2500 Hospital Blvd, Suite 310, Roswell, GA 30076-4907 | 2011-12-05 |
| 1073607875 | Spectrum Neurosurgical Specialists PC | Neurological Surgery | 2500 Hospital Blvd, Ste 310, Roswell, GA 30076-4907 | 2006-10-03 |
| 1144336389 | Gutierrez, Mario A Md Pa | Neurological Surgery | 313 W. Country Club Rd, Ste 14, Roswell, NM 88201 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1831720408 | Jonathan Lau | Neurological Surgery | 1365 Clifton Rd Ne Ste B6168, Atlanta, GA 30322-1013 | 2020-01-31 |
| 1528612728 | The Neurological Institute of Savannah & Center for Spine, PC | Neurological Surgery | 101 St Josephs Candler Dr, Pooler, GA 31322-9579 | 2019-07-26 |
| 1770149478 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 2a Ed Moore Ct, Statesboro, GA 30458-5024 | 2019-05-17 |
| 1740758358 | Allspine Surgery Center-2 LLC | Neurological Surgery | 1944 Clairmont Rd, Decatur, GA 30033-3406 | 2018-11-13 |
| 1427531268 | Robert Burney II | Neurological Surgery | 101 Lakeview Dr, Hamilton, GA 31811-4365 | 2018-09-07 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1942727425 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 1805 Manning Dr, Vidalia, GA 30474-8921 | 2017-08-25 |
| 1093115123 | Tattnall Hospital Company, LLC | Neurological Surgery | 3345 Us Highway 84, Suite 100, Blackshear, GA 31516-2159 | 2014-08-26 |
| 1396181434 | Mairaj Tariq Sami | Neurological Surgery | 6600 Sugarloaf Pkwy Ste 400-230, Duluth, GA 30097-4344 | 2013-05-16 |
| 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.