SUMNER NEUROLOGY ASSOCIATES PLLC NPI 1801926381

NPI Information

  • NPI: 1801926381
  • Provider Name: SUMNER NEUROLOGY ASSOCIATES, PLLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 11D2180882
  • Address: 1000 JOHNSON FERRY RD BLDG F
    STE.120
    MARIETTA, GA
    ZIP 30068
  • Phone: (678) 402-1053

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NPI Details

SUMNER NEUROLOGY ASSOCIATES, PLLC is a multi-specialty clinic center in Marietta, GA. SUMNER NEUROLOGY ASSOCIATES, PLLC NPI is 1801926381. The provider is registered as an organization entity type.

The provider's business location address is:

1000 JOHNSON FERRY RD BLDG F
STE.120
MARIETTA, GA
ZIP 30068-114
Phone: (678) 402-1053
Fax: (678) 402-5619

The provider's authorized official is Jawaid Ahsan .
The authorized official title is Owner and has the following contact phone number (678) 402-1053.

The CLIA number assigned to this NPI record is 11D2180882 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 11/1/2012.

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
1261QM1300XClinic/CenterMulti-Specialty16896TENNESSEEYes

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
1FA1875624MEDICAIDGEORGIA
2H93365MEDICARE UPIN
3871643718AMEDICAIDTENNESSEE
438882344MEDICARE PINTENNESSEE
5871643718AMEDICAIDGEORGIA
638882344MEDICARE PINGEORGIA

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: 3/30/2025

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