COOSA NEUROSURGERY PC (NPI# 1124200100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124200100 |
| Entity Type | Organization |
| Organization Name | COOSA NEUROSURGERY PC |
| Other Organization Name | ROME NEUROSPINAL CENTER PC |
| Practice Address |
20 Riverbend Dr Sw Rome GA 30161-6066 |
| Practice Telephone | 7062385465 |
| Practice Fax Number | 7062351618 |
| Mailing Telephone | 7062385465 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. H PITTMAN (OWNER) |
| Authorized Official Telephone | 7062385465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000285271D | 05 |
| Other Name | Type Code |
|---|---|
| Rome Neurospinal Center PC | Doing Business As Name - Organization |
| Street Address |
20 RIVERBEND DR SW |
| City | ROME |
| State | GA |
| Zip Code | 30161-6066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952385254 | Louis A Dinatti | Emergency Medicine | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2005-12-01 |
| 1639309065 | Brown Family Medicine, LLC | Family Medicine | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2009-07-20 |
| 1174784912 | Rome Neurospinal Center PC | Neurological Surgery | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2008-06-24 |
| 1316115538 | Coosa Neurology PC | Psychiatry & Neurology | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2008-02-11 |
| 1932311123 | North Georgia Nephrology Associates PC | Internal Medicine | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2007-05-03 |
| 1104905074 | Hamid Reza Chimeh | Internal Medicine | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2006-11-03 |
| 1588698054 | Kevin E Brown | Family Medicine | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2006-07-10 |
| 1104800390 | Victor Jason Tucker | Physician Assistant | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704522 | Dennis Mark Murphy | Neurological Surgery | 909 N 5th Ave Ne, Rome, GA 30165-2706 | 2005-07-15 |
| 1245467604 | Jason Franklin Harrison | Neurological Surgery | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2009-06-12 |
| 1144486564 | Redmond Neurosurgery, LLC | Neurological Surgery | 2112 Shorter Ave Nw, Rome, GA 30165-2042 | 2008-08-05 |
| 1174784912 | Rome Neurospinal Center PC | Neurological Surgery | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2008-06-24 |
| 1033310552 | Daniel Barnes Webb | Neurological Surgery | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2007-05-31 |
| 1588786669 | John Alfred Cowan Jr. | Neurological Surgery | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2007-04-06 |
| 1306820501 | Carl J Herring | Neurological Surgery | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1457968372 | Reagan Medical Center | Neurological Surgery | 1295 Hembree Rd Ste 200, Roswell, GA 30076-5721 | 2020-09-24 |
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1831720408 | Jonathan Lau | Neurological Surgery | 1365 Clifton Rd Ne Ste B6168, Atlanta, GA 30322-1013 | 2020-01-31 |
| 1528612728 | The Neurological Institute of Savannah & Center for Spine, PC | Neurological Surgery | 101 St Josephs Candler Dr, Pooler, GA 31322-9579 | 2019-07-26 |
| 1770149478 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 2a Ed Moore Ct, Statesboro, GA 30458-5024 | 2019-05-17 |
| 1740758358 | Allspine Surgery Center-2 LLC | Neurological Surgery | 1944 Clairmont Rd, Decatur, GA 30033-3406 | 2018-11-13 |
| 1427531268 | Robert Burney II | Neurological Surgery | 101 Lakeview Dr, Hamilton, GA 31811-4365 | 2018-09-07 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1942727425 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 1805 Manning Dr, Vidalia, GA 30474-8921 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
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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.