PALMYRA BRAIN & SPINE CENTER, LLC (NPI# 1467775734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467775734 |
| Entity Type | Organization |
| Organization Name | PALMYRA BRAIN & SPINE CENTER, LLC |
| Practice Address |
2002 Palmyra Rd Suite 202 Albany GA 31701-1591 |
| Practice Telephone | 4784744343 |
| Practice Fax Number | 2294201471 |
| Mailing Telephone | 2294201464 |
| Mailing Fax Number | 2294201471 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-06-09 |
| Authorized Official Name | GARY DUNCAN (VICE PRESIDENT) |
| Authorized Official Telephone | 6153725135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2002 PALMYRA RD SUITE 202 |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629907 | Bruce G. Houston | Family Medicine | 2002 Palmyra Rd, Suite 101, Albany, GA 31701-1591 | 2005-09-19 |
| 1487022273 | Holly E Azimi | Nurse Practitioner | 2002 Palmyra Rd, Albany, GA 31701-1591 | 2015-09-10 |
| 1427230150 | Joe Harris Morgan IIi | Surgery | 2002 Palmyra Rd, Suite 202, Albany, GA 31701-1591 | 2007-12-05 |
| 1457480840 | Katherine M. Dean | Physical Therapist | 2002 Palmyra Rd, Suite 200, Albany, GA 31701-1591 | 2007-03-03 |
| 1407842859 | Charles F. Gebhardt | Internal Medicine | 2002 Palmyra Rd, Suite 101, Albany, GA 31701 | 2005-09-21 |
| 1205822657 | Devell R Young | Internal Medicine | 2002 Palmyra Rd, Suite 101, Albany, GA 31701-1591 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| 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 |
|---|---|---|---|---|
| 1508132390 | Ahmed Meleis | Neurological Surgery | 391 Myrtle Ave # Mc-55, Albany, NY 12208-3835 | 2012-03-27 |
| 1205829009 | Kimberly S Brown | Neurological Surgery | 2622 Meredyth Dr, Albany, GA 31707-0206 | 2005-08-26 |
| 1912522202 | Amir Hadanny | Neurological Surgery | 47 New Scotland Ave, Neurosurgery Department, Albany, NY 12208 | 2020-06-11 |
| 1821542390 | Amr Albakry | Neurological Surgery | 47 New Scotland Ave, Mc10, Albany, NY 12208-3412 | 2016-08-12 |
| 1467801332 | Albany Medical College | Neurological Surgery | 391 Myrtle Ave, Suite 1b, Albany, NY 12208-3513 | 2016-06-10 |
| 1306104468 | Alexander Richard Riccio | Neurological Surgery | 47 New Scotland Ave, Department of Neurosurgery, Albany, NY 12208-3412 | 2012-04-26 |
| 1346492469 | Donald Dewey Davis | Neurological Surgery | 4 Airline Dr, Albany, NY 12205-1023 | 2008-10-21 |
| 1245490283 | John Charles Dalfino Jr. | Neurological Surgery | 43 New Scotland Ave, Mail Code 10, Albany, NY 12208-3412 | 2008-06-12 |
| 1538375076 | Adrian Mzee Smith | Neurological Surgery | 2622 Meredyth Dr, Albany, GA 31707-0206 | 2007-05-14 |
| 1861559163 | Julie Georgia Pilitsis | Neurological Surgery | 47 New Scotland Ave, Mc- 10 Neurosurgery, Albany, NY 12208-3412 | 2007-01-03 |
| Find all providers in ALBANY | ||||
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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.