NEURO DIAGNOSTIC GROUP LLC (NPI# 1760900708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760900708 |
| Entity Type | Organization |
| Organization Name | NEURO DIAGNOSTIC GROUP LLC |
| Practice Address |
200 Galleria Pkwy Se Ste 100 Atlanta GA 30339-5944 |
| Practice Telephone | (855) 411-2225 |
| Practice Fax Number | 8008861731 |
| Mailing Telephone | 8554112225 |
| Mailing Fax Number | 8008861731 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | DR. OFFER DANAN (CEO) |
| Authorized Official Telephone | 7706955500 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
59870 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NEUROLOGY | 1679765523 | 01 |
| Street Address |
200 GALLERIA PKWY SE STE 100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-5944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073812335 | Mikhail Zhukalin | Physical Medicine & Rehabilitation | 1648 Pierce Dr. Ne, Atlanta, GA 30307 | 2011-03-24 |
| 1669690723 | Injury Centers of Atlanta L.l.c | Physical Medicine & Rehabilitation | 4186 Buford Hwy Ne Ste F, Atlanta, GA 30345-1067 | 2007-04-23 |
| 1821113556 | Med Health Services LLC | Physical Medicine & Rehabilitation | 4780 Ashford Dunwoody Road, Ste A418, Atlanta, GA 30338-5504 | 2007-03-20 |
| 1659409860 | Vita Life Medical LLC | Physical Medicine & Rehabilitation | 2870 Peachtree Rd Ne, Ste 431, Atlanta, GA 30305 | 2007-03-01 |
| 1891796595 | Shane C Mangrum | Physical Medicine & Rehabilitation | 1150 Hammond Dr, Suite 400, Atlanta, GA 30328-5334 | 2005-08-03 |
| 1518568591 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4290 | 2020-11-05 |
| 1629688114 | Prm of Georgia PC | Physical Medicine & Rehabilitation | 371 E Paces Ferry Rd Ne Ste 730, Atlanta, GA 30305-2372 | 2020-08-09 |
| 1316507775 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 60 Peachtree Park Dr Ne Ste 200, Atlanta, GA 30309-1304 | 2019-06-18 |
| 1295197036 | Chelsea Denise Frost | Physical Medicine & Rehabilitation | 59 Executive Park South Ne, Atlanta, GA 30329-2208 | 2016-03-22 |
| 1063766160 | Thomas H Xu | Physical Medicine & Rehabilitation | 2001 Peachtree Rd Ne Ste 550, Atlanta, GA 30309-1416 | 2012-10-29 |
| Find all providers in ATLANTA | ||||
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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.