GREENVILLE NEURO DIAGNOSTIC CENTER, P.C. (NPI# 1457798241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457798241 |
| Entity Type | Organization |
| Organization Name | GREENVILLE NEURO DIAGNOSTIC CENTER, P.C. |
| Practice Address |
1502 S Colorado St Greenville MS 38703-7219 |
| Practice Telephone | 6623329872 |
| Practice Fax Number | 6623329878 |
| Mailing Telephone | 6623329872 |
| Mailing Fax Number | 6623329878 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | MOHAMMED A AHMED (PRESIDENT) |
| Authorized Official Telephone | 6623329872 |
| 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 |
16065 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1502 S COLORADO ST |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-7219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043250418 | Jackson Vamc | Clinic/Center | 1502 S Colorado St, Greenville, MS 38703-7219 | 2006-06-07 |
| 1376196238 | Willie Andrew Pole Jr. | Social Worker | 1502 S Colorado St, Greenville, MS 38703-7219 | 2019-07-19 |
| 1194211094 | Carly Maranne Hazzard | Nurse Practitioner | 1502 S Colorado St, Greenville, MS 38703-7219 | 2018-07-03 |
| 1992241269 | Medical Foundation of Central Ms Inc | Internal Medicine | 1502 S Colorado St, Greenville, MS 38703-7219 | 2017-01-11 |
| 1578016259 | Medical Foundation of Central Ms Inc | Internal Medicine | 1502 S Colorado St, Greenville, MS 38703-7219 | 2016-07-28 |
| 1861843690 | Patricia Ann Barber | Nurse Practitioner | 1502 S Colorado St, Greenville, MS 38703-7219 | 2016-06-22 |
| 1568848299 | Mary Riley | Nurse Practitioner | 1502 S Colorado St, Greenville, MS 38703-7219 | 2015-08-04 |
| 1144620592 | Kelli Bearden | Nurse Practitioner | 1502 S Colorado St, Greenville, MS 38703-7219 | 2014-09-03 |
| 1730446303 | Greenville Neurology Center, LLC | Psychiatry & Neurology | 1502 S Colorado St, Greenville, MS 38703-7219 | 2012-04-19 |
| 1164654471 | Rheumatology Associates of Greenville PC | Clinic/Center | 1502 S Colorado St, Greenville, MS 38703-7219 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| 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 |
|---|---|---|---|---|
| 1144647041 | Amal Idris Ahmed Elhaj | Psychiatry & Neurology | 9 Medical Drive, Building 9 A, Greenville, NC 27835-2818 | 2014-03-28 |
| 1659719862 | Cody S Freeman | Psychiatry & Neurology | 131 Commonwealth Dr Ste 240, Greenville, SC 29615-5194 | 2013-06-10 |
| 1174806608 | Cynthia L. Lopez Md Pa | Psychiatry & Neurology | 845 A Johns Hopkins Dr, Greenville, NC 27834-7200 | 2011-09-21 |
| 1003013616 | Kathleen Valeska Woschkolup | Psychiatry & Neurology | 801 Roper Creek Dr, Greenville, SC 29615-6938 | 2007-06-27 |
| 1487794319 | Oaktree Medical Centre, PC | Psychiatry & Neurology | 138 Milestone Way, Suite A, Greenville, SC 29615-6617 | 2007-02-08 |
| 1356436745 | James Bryan Cooper | Psychiatry & Neurology | 498a Red Banks Road, Greenville, NC 27858 | 2006-10-03 |
| 1568562767 | Cynthia L Lopez | Psychiatry & Neurology | 845 A Johns Hopkins Drive, Greenville, NC 27834 | 2006-09-25 |
| 1073618732 | Greenville Neurology Consultants, Pa | Psychiatry & Neurology | 4 Old Grove Rd, Greenville, SC 29605-4712 | 2006-09-14 |
| 1841252525 | John W Mcburney | Psychiatry & Neurology | Bon Secours Neurology, 801 Roper Creek Drive, Greenville, SC 29615-6938 | 2006-04-06 |
| 1487636999 | John A Porter | Psychiatry & Neurology | 3 Saint Francis Dr Ste 330, Greenville, SC 29601-3972 | 2005-11-18 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
Please comment or provide details below to improve the information on GREENVILLE NEURO DIAGNOSTIC CENTER, P.C..
| 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.