COMPREHENSIVE NEUROLOGY SPECIALIST NPI 1053427542

NPI Information

  • NPI: 1053427542
  • Provider Name: COMPREHENSIVE NEUROLOGY SPECIALIST
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: MARK I HARRIS MD
  • Address: 4275 JOHNS CREEK PKWY
    SUITE C
    SUWANEE, GA
    ZIP 30024
  • Phone: (770) 454-4685

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NPI Details

COMPREHENSIVE NEUROLOGY SPECIALIST is a neurology psychiatry neurology in Suwanee, GA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. COMPREHENSIVE NEUROLOGY SPECIALIST NPI is 1053427542. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mark I Harris Md.

The provider's business location address is:

4275 JOHNS CREEK PKWY
SUITE C
SUWANEE, GA
ZIP 30024-038
Phone: (770) 454-4685
Fax: (770) 454-4690

The provider's authorized official is Mark I Harris .
The authorized official title is Medical Doctor and has the following contact phone number (770) 454-4685.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 11/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology30084GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D40074MEDICARE UPINGEORGIA
200371115DMEDICAIDGEORGIA
313BDDHNMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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