JEREMY MEISEL MD LLC NPI 1790118131

NPI Information

  • NPI: 1790118131
  • Provider Name: JEREMY MEISEL MD LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: ADVANCED NEUROLOGY CENTER
  • Address: 4904 TIMBER RIDGE DR
    SUITE 305
    DOUGLASVILLE, GA
    ZIP 30135
  • Phone: (678) 501-5420

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NPI Details

JEREMY MEISEL MD LLC is a neurology psychiatry neurology in Douglasville, 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. JEREMY MEISEL MD LLC NPI is 1790118131. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Neurology Center.

The provider's business location address is:

4904 TIMBER RIDGE DR
SUITE 305
DOUGLASVILLE, GA
ZIP 30135-828
Phone: (678) 501-5420
Fax: (678) 501-5429

The provider's authorized official is Jeremy Meisel .
The authorized official title is Owner and has the following contact phone number (678) 501-5420.

The enumeration date for this NPI number is 8/20/2013 and was last updated on 11/17/2014.

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 & NeurologyNeurology052786GEORGIAYes

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
1202I132203MEDICARE UPINGEORGIA
2612935883DMEDICAIDGEORGIA

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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