ATLANTA MEDICAL CENTER NEUROSURGICAL & SPINE SPECIALISTS, LLC (NPI# 1558631408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558631408 |
| Entity Type | Organization |
| Organization Name | ATLANTA MEDICAL CENTER NEUROSURGICAL & SPINE SPECIALISTS, LLC |
| Practice Address |
285 Boulevard Ne Suite 415 Atlanta GA 30312-4205 |
| Practice Telephone | 4042654400 |
| Practice Fax Number | 4042654452 |
| Mailing Telephone | 4042654400 |
| Mailing Fax Number | 4042654452 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
285 BOULEVARD NE SUITE 415 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780278 | Israel B Orija | Internal Medicine | 285 Boulevard Ne, Ste 525, Atlanta, GA 30312-4205 | 2005-06-20 |
| 1558982843 | Kimberly C M Holderfield | Registered Nurse | 285 Boulevard Ne, Suite 345, Atlanta, GA 30312 | 2020-04-28 |
| 1811346604 | Hygea of Georgia, LLC | Internal Medicine | 285 Boulevard Ne, Suite 435, Atlanta, GA 30312-4205 | 2016-06-13 |
| 1194171173 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 285 Boulevard Ne, Ste 310, Atlanta, GA 30312-4205 | 2016-05-10 |
| 1902285695 | Karen Hargrove | Counselor | 285 Boulevard Ne, Suite 210, Atlanta, GA 30312-4205 | 2015-05-27 |
| 1417346941 | Rachel Marynowski | Nutritionist | 285 Boulevard Ne, Suite 110, Atlanta, GA 30312-4205 | 2015-01-21 |
| 1386033132 | Natasha Williamson | Nurse Practitioner | 285 Boulevard Ne, Atlanta, GA 30312-4205 | 2015-01-16 |
| 1457753014 | Essential Foot and Ankle Care, Inc | Podiatrist | 285 Boulevard Ne, Suite 525, Atlanta, GA 30312-4205 | 2014-09-25 |
| 1366858680 | Charles Kitchens Jr. | Nurse Practitioner | 285 Boulevard Ne, Atlanta, GA 30312-4205 | 2014-07-08 |
| 1033525415 | Dipa Patel | Nurse Practitioner | 285 Boulevard Ne, Suite 415, Atlanta, GA 30312-4205 | 2014-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| 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.