ATLANTA NEURO CARE (NPI# 1720536584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720536584 |
| Entity Type | Organization |
| Organization Name | ATLANTA NEURO CARE |
| Practice Address |
1372 Wellbrook Cir Ne Conyers GA 30012-3872 |
| Mailing Address |
Po Box 542 Conyers GA 30012-9998 |
| Practice Telephone | 7702743378 |
| Practice Fax Number | 7702743489 |
| Mailing Telephone | 7702743428 |
| Mailing Fax Number | 7702743489 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | DR. DANIEL TESFAYE (OWNER) |
| Authorized Official Telephone | 7702743378 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 67614 | GA | Ambulatory Health Care Facilities |
| Street Address |
1372 WELLBROOK CIR NE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533770 | George Isshak | Surgery | 1372 Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2005-07-26 |
| 1447419106 | Surgical Medical Associates | Physician Assistant | 1372 Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2008-06-06 |
| 1962558460 | Newton Rockdale Surgical Specialists | Surgery | 1372 Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808773 | All Test Services | Clinic/Center | 575 Sigman Rd Ne, Conyers, GA 30013-1311 | 2020-07-07 |
| 1780958835 | Proactive Healthcare Solutions, LLC | Clinic/Center | 2434 Wall St Se, Suite A, Conyers, GA 30013-6760 | 2012-03-06 |
| 1992997571 | American Current Care Pa | Clinic/Center | 1157 West Ave, Suite B, Conyers, GA 30012 | 2007-08-16 |
| 1225321508 | Southern Cross Surgery Center, LLC | Clinic/Center | 1301 Sigman Rd Ne, Suite 120, Conyers, GA 30012-3812 | 2011-05-19 |
| 1780989913 | Rodney A West, Dc, LLC | Clinic/Center | 921 Commercial St Ne, Conyers, GA 30012-4512 | 2011-01-19 |
| 1831363670 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| 1558535393 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| 1497928188 | Rediclinic Us, LLC | Clinic/Center | 1436 Dogwood Dr Se, Conyers, GA 30013-5098 | 2008-04-02 |
| 1710946371 | Medical Centre of Conyers | Clinic/Center | 1445 Old Mcdonough Hwy Se Ste E, Conyers, GA 30094-5977 | 2006-03-22 |
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|---|---|---|---|---|
| 1619578820 | Pinpoint Covid Testing Inc | Clinic/Center | 3075 Tower Rd Ste A, Columbus, GA 31909-2537 | 2020-11-04 |
| 1194331439 | Shittu Family Practice,llc | Clinic/Center | 11679 Bruce Dr, Hampton, GA 30228-4008 | 2020-09-22 |
| 1154937050 | Staywellatl,llc | Clinic/Center | 2550 Heritage Ct Se Ste 135, Atlanta, GA 30339-3528 | 2020-09-17 |
| 1164035564 | The Lotus Haven PC | Clinic/Center | 950 Dannon Vw Sw Ste 4101, Atlanta, GA 30331-2159 | 2020-08-25 |
| 1518585868 | Robin June Dc, LLC | Clinic/Center | 400 Embassy Row Ste 110, Sandy Springs, GA 30328-5723 | 2020-07-13 |
| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
| 1801429105 | Pt Hills Place Terraces LLC | Clinic/Center | 229 Peachtree Hills Ave Ne, Atlanta, GA 30305-4411 | 2020-02-15 |
| 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.