SOUTHWEST GEORGIA NEUROLOGY, P.C. (NPI# 1003974809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003974809 |
Entity Type | Organization |
Organization Name | SOUTHWEST GEORGIA NEUROLOGY, P.C. |
Practice Address |
2709 Meredyth Dr Suite 230 Albany GA 31707-0222 |
Practice Telephone | 2294380703 |
Practice Fax Number | 2298830701 |
Mailing Telephone | 2294380703 |
Mailing Fax Number | 2298830701 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. ERNEST ALAN LITTLE (PRESIDENT) |
Authorized Official Telephone | 2294380703 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
38290 | GA | Allopathic & Osteopathic Physicians |
Street Address |
2709 MEREDYTH DR SUITE 230 |
City | ALBANY |
State | GA |
Zip Code | 31707-0222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114919438 | James A. Rooney | Dermatology | 2709 Meredyth Dr, Suite 340, Albany, GA 31707-0222 | 2005-08-23 |
1164883831 | Michael Brandon Ross | Physical Therapist | 2709 Meredyth Dr, Albany, GA 31707-0222 | 2016-03-09 |
1417377912 | Jordan Knoefler | Family Medicine | 2709 Meredyth Dr, Albany, GA 31707-0222 | 2014-04-23 |
1831442888 | Lesa Beach | Nurse Practitioner | 2709 Meredyth Dr, Ste 230, Albany, GA 31707-0222 | 2012-10-16 |
1407108756 | Brandon Arch Glow | Physician Assistant | 2709 Meredyth Dr, Ste 450, Albany, GA 31707-0222 | 2012-10-11 |
1447571294 | Meredith Mckee Koomson | Internal Medicine | 2709 Meredyth Dr, Suite 330, Albany, GA 31707-0222 | 2010-06-16 |
1407176647 | Phoebe Neurology | Psychiatry & Neurology | 2709 Meredyth Dr, Ste 230, Albany, GA 31707-0218 | 2010-06-10 |
1336261205 | Berg Eye Center, P. C. | Durable Medical Equipment & Medical Supplies | 2709 Meredyth Dr, Suite 110 One Meredyth Place, Albany, GA 31707-0201 | 2007-04-04 |
1598859373 | Bridget T Milani | Physical Therapist | 2709 Meredyth Dr, Suite 450, Albany, GA 31707-0222 | 2006-10-03 |
1891724985 | Southwest Georgia Orthopedic & Sports Medicine Center, Inc. | Specialist | 2709 Meredyth Dr, Suite 450, Albany, GA 31707-0222 | 2006-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
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. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790078608 | George Reeves Throop IIi | Psychiatry & Neurology | 1142 Nw Scenic Dr, Albany, OR 97321-9669 | 2011-05-25 |
1295927952 | Jennifer Durphy | Psychiatry & Neurology | 47 New Scotland Ave # Mc-70, Albany, NY 12208-3412 | 2007-08-15 |
1831396803 | Kalpesh Patel | Psychiatry & Neurology | 701 14th Ave, Albany, GA 31701-1301 | 2007-07-02 |
1720289168 | Farrukh Shaikh Md Pllc | Psychiatry & Neurology | 25 Park Dr, Albany, NY 12204-2243 | 2007-05-31 |
1033284625 | Magnolia Medical Center | Psychiatry & Neurology | 701 14th Avenue, Albany, GA 31701 | 2006-11-21 |
1245287234 | Francisco Javier Gomez | Psychiatry & Neurology | 110 Wolf Rd, Albany, NY 12205-1244 | 2006-05-27 |
1447206206 | Mindy Sanders | Psychiatry & Neurology | 760 Madison Ave, Albany, NY 12208-3428 | 2006-05-25 |
1750351862 | William T Garrett | Psychiatry & Neurology | 2709 Meredyth Dr Ste 230, Albany, GA 31707-0218 | 2006-01-23 |
1609863448 | New York Oncology Hematology, P.C. | Psychiatry & Neurology | 400 Patroon Creek Blvd., Suite 1, Albany, NY 12206-5014 | 2005-10-05 |
1679937338 | Gary Volkell | Psychiatry & Neurology | 47 New Scotland Ave Dept of Neurology, Albany, NY 12208-3412 | 2016-04-08 |
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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.