MIDDLE GEORGIA NEUROLOGY, LLC (NPI# 1982891453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982891453 |
| Entity Type | Organization |
| Organization Name | MIDDLE GEORGIA NEUROLOGY, LLC |
| Practice Address |
1101 Russell Pkwy Warner Robins GA 31088-5537 |
| Practice Telephone | 4789233535 |
| Practice Fax Number | 4789233573 |
| Mailing Telephone | 4789233535 |
| Mailing Fax Number | 4789233573 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | ABDUL QADIR (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4789233535 |
| Authorized Official Credential | MD |
| 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 |
041352 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1101 RUSSELL PKWY |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-5537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992718100 | Abdul Qadir | Psychiatry & Neurology | 1101 Russell Pkwy, Warner Robins, GA 31088-5537 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| 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 |
|---|---|---|---|---|
| 1487866703 | Frederick W. Jennart Do PC | Psychiatry & Neurology | 212 Hospital Drive, Suite N, Warner Robins, GA 31088-4294 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376998096 | Coga Health | Psychiatry & Neurology | 139 Altama Connector, Pmb 316, Brunswick, GA 31525-1888 | 2016-05-02 |
| 1376961565 | Anna Wilson Bunker | Psychiatry & Neurology | 1086 1/2 Baxter St Ste A, Athens, GA 30606-6316 | 2014-04-03 |
| 1386819381 | Kohilavani Velayudam | Psychiatry & Neurology | 761 Walther Road, Suite 100, Lawrenceville, GA 30046 | 2008-04-30 |
| 1952575763 | Pierre Richard Fequiere | Psychiatry & Neurology | 705 17th St Ste 106, Columbus, GA 31901 | 2008-04-14 |
| 1609921881 | Asma Qureshi Fischer | Psychiatry & Neurology | 460 North Belair Rd, Evans, GA 30801 | 2007-01-25 |
| 1407910607 | South Georgia Neurological Associates, P.C. | Psychiatry & Neurology | 907 18th St E Ste 190, Tifton, GA 31794-3600 | 2006-12-21 |
| 1093884355 | Aijaz A Khalid | Psychiatry & Neurology | 170 Camden Hill Rd Ste A, Lawrenceville, GA 30045-7418 | 2006-11-08 |
| 1912978065 | Enrique J. Fernandez | Psychiatry & Neurology | 3226-c Hampton Avenue, Brunswick, GA 31520-4254 | 2006-01-27 |
| 1932768389 | Uloma Chinyere Ibezim | Psychiatry & Neurology | 1446 Harper St, Augusta, GA 30912-0012 | 2019-06-10 |
| 1841677010 | Michelle Tutmaher | Psychiatry & Neurology | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2015-04-27 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
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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.