CARROLL COUNTY NEUROLOGY NPI 1407916455

NPI Information

NPI: 1407916455
Provider Name: CARROLL COUNTY NEUROLOGY

Doing Business As: WEST GEORGIA SLEEP DISORDERS AND NEUROLOGY ASSOCIATES

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
524 DIXIE ST
CARROLLTON, GA
ZIP 30117
Phone: (770) 832-2775
Get Directions

CARROLL COUNTY NEUROLOGY is a neurology psychiatry neurology in Carrollton, 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. CARROLL COUNTY NEUROLOGY NPI is 1407916455. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As West Georgia Sleep Disorders And Neurology Associates.

The provider's business location address is:

524 DIXIE ST
CARROLLTON, GA
ZIP 30117-805
Phone: (770) 832-2775
Fax: (770) 832-9529

The provider's authorized official is Rebecca Lee Walker .
The authorized official title is Administrator and has the following contact phone number (770) 832-2775.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 12/3/2009.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	040159	GEORGIA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	050478	GEORGIA	No
3	2084N0400X	Psychiatry & Neurology	Neurology	053520	GEORGIA	Yes

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
1	506390	OTHER		BSBC
2	13BDDKV01	OTHER		MEDICARE ID
3	13BDCK01	OTHER		MEDICARE ID
4	H43278	MEDICARE UPIN
5	000920796C	MEDICAID	GEORGIA
6	000670909E	MEDICAID	GEORGIA
7	000670909A	MEDICAID	GEORGIA
8	864345	OTHER		BCBS
9	130011906	OTHER		R X R MEDICARE
10	009602420	MEDICAID	ALABAMA
11	7357225	OTHER		AETNA
12	5632868	OTHER		CIGNA
13	13BDFFB	OTHER		MEDICARE ID
14	586993320E	MEDICAID	GEORGIA
15	13BDFFB01	OTHER		MEDICARE ID
16	000920796B	MEDICAID	GEORGIA
17	009981360	MEDICAID	ALABAMA
18	52212528	OTHER		BCBS
19	130024279	OTHER		R X R MEDICARE
20	13BDCKS	OTHER		MEDICARE ID
21	6941783	OTHER		CIGNA
22	13BDDKV	OTHER		MEDICARE
23	G01006	MEDICARE UPIN
24	000920796A	MEDICAID	GEORGIA
25	000670909F	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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