PHYSICIANS SOUTH NEUROLOGY LLC (NPI# 1013022755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013022755 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS SOUTH NEUROLOGY LLC |
| Practice Address |
740 Prince Ave Bldg #9 Athens GA 30606 |
| Practice Telephone | 7063695084 |
| Practice Fax Number | 7063695099 |
| Mailing Telephone | 7063695084 |
| Mailing Fax Number | 7063695099 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANTHONY T DACUNHA (PRESIDENT) |
| Authorized Official Telephone | 7063695084 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
037435 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
740 PRINCE AVE BLDG #9 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494734 | Sergio T Mejias | Surgery | 740 Prince Ave, Bld 2, Athens, GA 30606-5903 | 2005-08-11 |
| 1336556653 | Carly Wham Sayers | Nurse Practitioner | 740 Prince Ave, Building 15, Athens, GA 30606-5908 | 2014-07-18 |
| 1588923254 | Meredith Jennifer Bolton | Obstetrics & Gynecology | 740 Prince Ave, Building 3, Athens, GA 30606-5908 | 2012-05-15 |
| 1730495680 | Athens Obgyn II LLC | Specialist | 740 Prince Ave, Bldg 3, Athens, GA 30606-5908 | 2010-08-28 |
| 1841502754 | Eva Katherine Moore | Surgery | 740 Prince Ave, Bldg 1b, Athens, GA 30606-5908 | 2010-07-08 |
| 1043536469 | Ashlee R Kimbrell | Surgery | 740 Prince Ave, Bldg 8a, Athens, GA 30606-5908 | 2010-04-09 |
| 1689801532 | Rebecca L Fletcher | Obstetrics & Gynecology | 740 Prince Ave, Building #3, Athens, GA 30606-5908 | 2009-06-18 |
| 1780810226 | Heather Wheatley | Nurse Practitioner | 740 Prince Ave, Bldg 1b, Athens, GA 30606-5908 | 2009-06-10 |
| 1174768063 | Ryan Matthew Katz | Surgery | 740 Prince Ave, Bldg. 2, Athens, GA 30606-5908 | 2008-12-08 |
| 1740327139 | Anthony Wall | Nurse Practitioner | 740 Prince Ave, Athens, GA 30606-5908 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| 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 |
|---|---|---|---|---|
| 1144601048 | Catherine Lockhart | Psychiatry & Neurology | 2470 Daniels Bridge Rd Ste 261, Athens, GA 30606-6188 | 2015-06-16 |
| 1285757666 | Eric M Pitts | Psychiatry & Neurology | 1086 A Baxter Street, Athens, GA 30606 | 2007-04-09 |
| 1528181468 | Eteri Bibileishvili | Psychiatry & Neurology | 711 Cook Dr Ste 210, Athens, TN 37303-3486 | 2007-04-07 |
| 1184715526 | Gary Edward Cordingley | Psychiatry & Neurology | 75 Hospital Drive, Suite 360, Athens, OH 45701 | 2006-09-28 |
| 1548212475 | Brian Wesley Mitchell | Psychiatry & Neurology | 1086a Baxter St, Athens, GA 30606-6316 | 2006-05-17 |
| 1952697971 | John Edry | Psychiatry & Neurology | 1230 Baxter St, Athens, GA 30606 | 2011-06-28 |
| 1730475740 | Brandi S Fleenor | Psychiatry & Neurology | 1086 1/2 Baxter St, Athens, GA 30606-6316 | 2011-06-28 |
| 1538393301 | St. Mary's Medical Group, Inc | Psychiatry & Neurology | 1230 Baxter St, Athens, GA 30606-3712 | 2009-05-08 |
| 1851576557 | Denise S. Taylor | Psychiatry & Neurology | 1086 1/2 Baxter St, Athens, GA 30606-6316 | 2008-01-02 |
| 1114144920 | Robert Steadham | Psychiatry & Neurology | 2470 Daniels Bridge Rd, Bldg 200, Ste. 261, Athens, GA 30606-6187 | 2007-04-20 |
| Find all providers in ATHENS | ||||
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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.