ATLANTA FAMILY NEUROLOGY, PC (NPI# 1821297474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821297474 |
| Entity Type | Organization |
| Organization Name | ATLANTA FAMILY NEUROLOGY, PC |
| Practice Address |
975 Johnson Ferry Rd Ne Ste 360 Atlanta GA 30342-1619 |
| Practice Telephone | 4042520219 |
| Mailing Telephone | 4042520219 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | DR. GERALD SILVERBOARD (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4042520219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
014563 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
975 JOHNSON FERRY RD NE STE 360 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315457 | Edwin H. Donnelly | Ophthalmology | 975 Johnson Ferry Rd Ne, Suite 370, Atlanta, GA 30342-1619 | 2005-06-13 |
| 1265754121 | Jessica Ruth Maxwell | Physician Assistant | 975 Johnson Ferry Rd Ne, Suite 380, Atlanta, GA 30342-1619 | 2010-02-19 |
| 1497934129 | Charishma Nayyar | Physician Assistant | 975 Johnson Ferry Rd Ne, Suite 100, Atlanta, GA 30342-1618 | 2007-10-30 |
| 1043406119 | Obstetrics & Gynecology of Atlanta II LLC | Clinic/Center | 975 Johnson Ferry Rd Ne, Suite 400, Atlanta, GA 30342-1619 | 2007-09-21 |
| 1932393915 | Stephanie R Keller | Psychiatry & Neurology | 975 Johnson Ferry Rd Ne, Suite 380, Atlanta, GA 30342-1619 | 2007-08-31 |
| 1275755167 | Debra Denise Cooper | Nurse Practitioner | 975 Johnson Ferry Rd Ne, Suite 100, Atlanta, GA 30342-1619 | 2007-05-02 |
| 1720207780 | Edwin H. Donnelly, M.d., P.C. | Ophthalmology | 975 Johnson Ferry Rd Ne, Suite 370, Atlanta, GA 30342-1619 | 2007-04-25 |
| 1083831911 | Lisa Andreucci | Social Worker | 975 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1619 | 2007-04-20 |
| 1629294947 | Staci Haggerty Mccullohs | Physician Assistant | 975 Johnson Ferry Rd Ne, Suite 100, Atlanta, GA 30342 | 2007-04-17 |
| 1265563803 | Irina M Knudsen | Nurse Practitioner | 975 Johnson Ferry Rd Ne, Suite 460, Atlanta, GA 30342-1619 | 2007-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
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| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841677010 | Michelle Tutmaher | Psychiatry & Neurology | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2015-04-27 |
| 1326470246 | Sonam Chandra Mhohan Bhalla | Psychiatry & Neurology | 1001 Johnson Fy Rd Ne, Atlanta, GA 30342-1605 | 2013-08-01 |
| 1023372570 | Atlanta Southeast Center for Epilepsy & Neurodevelopment, PC | Psychiatry & Neurology | 5505 Peachtree Dunwoody Rd Ne, Suite 500, Atlanta, GA 30342-1705 | 2012-06-29 |
| 1689833683 | Cherise L Frazier | Psychiatry & Neurology | 2015 Uppergate Dr Ne, Atlanta, GA 30322-0001 | 2008-06-04 |
| 1114116480 | Jamika Lashell Hallman-cooper | Psychiatry & Neurology | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-0001 | 2007-10-23 |
| 1932393915 | Stephanie R Keller | Psychiatry & Neurology | 975 Johnson Ferry Rd Ne, Suite 380, Atlanta, GA 30342-1619 | 2007-08-31 |
| 1649345398 | Raymond Cheng | Psychiatry & Neurology | 5505 Peachtree Dunwoody Rd Ne, Suite 500, Atlanta, GA 30342-1705 | 2006-11-21 |
| 1881769503 | Edward M Goldstein | Psychiatry & Neurology | 5505 Peachtree Dunwoody Rd Ne, Suite 500, Atlanta, GA 30342-1705 | 2006-11-21 |
| 1386719185 | Howard S Schub | Psychiatry & Neurology | 5505 Peachtree Dunwoody Rd Ne, Suite 500, Atlanta, GA 30342-1705 | 2006-11-21 |
| 1306954037 | Han Cam Phan | Psychiatry & Neurology | 1001 Johnson Ferry Rd, Atlanta, GA 30342 | 2006-08-25 |
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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.