PEDIATRIC NEUROLOGY AND EPILEPSY CENTER (NPI# 1346510013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346510013 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC NEUROLOGY AND EPILEPSY CENTER |
| Practice Address |
170 Camden Hill Rd A Lawrenceville GA 30046-7418 |
| Mailing Address |
170 Camden Hill Rd Suite A Lawrenceville GA 30046-7418 |
| Practice Telephone | 7705964631 |
| Practice Fax Number | 6789908019 |
| Mailing Telephone | 7705964631 |
| Mailing Fax Number | 6789908019 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | DR. AIJAZ A KHALID (PHYSICIAN) |
| Authorized Official Telephone | 7705964631 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
38271 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 602609808A | 05 |
| Street Address |
170 CAMDEN HILL RD A |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145572 | Jack Stephens Tonge Jr. | Optometrist | 170 Camden Hill Rd, Ste B, Lawrenceville, GA 30045-7418 | 2005-06-22 |
| 1013229889 | Susan P Whatley | Nurse Practitioner | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046-7418 | 2010-07-09 |
| 1720110398 | Gwinnett Psychiatry, P.C. | Clinic/Center | 170 Camden Hill Rd, Suite C, Lawrenceville, GA 30046-7418 | 2007-03-09 |
| 1841230174 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30045-7418 | 2006-06-07 |
| 1790741114 | Steven M Gorbatkin | Specialist | 170 Camden Hill Rd, Lawrenceville, GA 30045-7418 | 2006-04-25 |
| 1235195652 | David Tong | Specialist | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30045-7418 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386819381 | Kohilavani Velayudam | Psychiatry & Neurology | 761 Walther Road, Suite 100, Lawrenceville, GA 30046 | 2008-04-30 |
| 1093884355 | Aijaz A Khalid | Psychiatry & Neurology | 170 Camden Hill Rd Ste A, Lawrenceville, GA 30045-7418 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376998096 | Coga Health | Psychiatry & Neurology | 139 Altama Connector, Pmb 316, Brunswick, GA 31525-1888 | 2016-05-02 |
| 1376961565 | Anna Wilson Bunker | Psychiatry & Neurology | 1086 1/2 Baxter St Ste A, Athens, GA 30606-6316 | 2014-04-03 |
| 1952575763 | Pierre Richard Fequiere | Psychiatry & Neurology | 705 17th St Ste 106, Columbus, GA 31901 | 2008-04-14 |
| 1609921881 | Asma Qureshi Fischer | Psychiatry & Neurology | 460 North Belair Rd, Evans, GA 30801 | 2007-01-25 |
| 1407910607 | South Georgia Neurological Associates, P.C. | Psychiatry & Neurology | 907 18th St E Ste 190, Tifton, GA 31794-3600 | 2006-12-21 |
| 1912978065 | Enrique J. Fernandez | Psychiatry & Neurology | 3226-c Hampton Avenue, Brunswick, GA 31520-4254 | 2006-01-27 |
| 1932768389 | Uloma Chinyere Ibezim | Psychiatry & Neurology | 1446 Harper St, Augusta, GA 30912-0012 | 2019-06-10 |
| 1841677010 | Michelle Tutmaher | Psychiatry & Neurology | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2015-04-27 |
| 1326470246 | Sonam Chandra Mhohan Bhalla | Psychiatry & Neurology | 1001 Johnson Fy Rd Ne, Atlanta, GA 30342-1605 | 2013-08-01 |
| 1023372570 | Atlanta Southeast Center for Epilepsy & Neurodevelopment, PC | Psychiatry & Neurology | 5505 Peachtree Dunwoody Rd Ne, Suite 500, Atlanta, GA 30342-1705 | 2012-06-29 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on PEDIATRIC NEUROLOGY AND EPILEPSY CENTER.
| 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.