WEST GEORGIA NEUROLOGY AND NEURODIAGNOSTICS, P.C. (NPI# 1730326778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730326778 |
| Entity Type | Organization |
| Organization Name | WEST GEORGIA NEUROLOGY AND NEURODIAGNOSTICS, P.C. |
| Practice Address |
2300 Manchester Expy St Francis Medical Park, H-103 Columbus GA 31904-6802 |
| Practice Telephone | 7065710121 |
| Practice Fax Number | 7065710124 |
| Mailing Telephone | 7065710121 |
| Mailing Fax Number | 7065710124 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2013-12-20 |
| Authorized Official Name | DR. JOSE A. CANEDO (SOLO PRACTITIONER/OWNER) |
| Authorized Official Telephone | 7065710121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
2084N0400X | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009304610 | 05 | |
| GA | 000416435A | 05 |
| Street Address |
2300 MANCHESTER EXPY ST FRANCIS MEDICAL PARK, H-103 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994403 | Sebastian O Hubbuch | Internal Medicine | 2300 Manchester Expy, Ste 1003, Columbus, GA 31904-6877 | 2005-06-28 |
| 1730615790 | Petra S Glover | Nurse Practitioner | 2300 Manchester Expy, Ste 1003, Columbus, GA 31904-6802 | 2017-05-11 |
| 1063956795 | Rebekah Begly | Nurse Practitioner | 2300 Manchester Expy, Butler Pavilion, Suite 1007, Columbus, GA 31904-6802 | 2016-12-14 |
| 1528517802 | Tracy B Stokes | Nurse Practitioner | 2300 Manchester Expy, Ste C001, Columbus, GA 31904-6802 | 2016-09-27 |
| 1073066254 | Chelsea Lawrence | Nurse Practitioner | 2300 Manchester Expy, Suite 2001, Butler Pavilion, Columbus, GA 31904-6802 | 2016-07-25 |
| 1609229863 | Dixie Peterson | Nurse Practitioner | 2300 Manchester Expy, Suite 2001, Columbus, GA 31904-6802 | 2016-07-22 |
| 1720430440 | Alexander Chavez | Nurse Practitioner | 2300 Manchester Expy, Ste 1009, Columbus, GA 31904-6802 | 2016-07-06 |
| 1437506318 | Michael Lemke | Nurse Practitioner | 2300 Manchester Expy, Building A, Suite 6, Columbus, GA 31904-6802 | 2016-05-19 |
| 1568822286 | Summer Carol Still | Nurse Practitioner | 2300 Manchester Expy, Suite 2001, Columbus, GA 31904-6802 | 2016-02-24 |
| 1861857294 | St. Francis Physician Practices LLC | Physical Medicine & Rehabilitation | 2300 Manchester Expy, Ste A005, Columbus, GA 31904-6802 | 2015-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801458443 | North Linden Health & Wellness Services LLC | Clinic/Center | 1414 Oakland Park Ave, Columbus, OH 43224-3507 | 2019-07-03 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1154698629 | C. Gary Taylor, D.c., P.C. | Clinic/Center | 2649 Juniper Ave, Columbus, GA 31907-2671 | 2011-11-28 |
| 1851625404 | Carept Inc | Clinic/Center | 1743 S High St, Columbus, OH 43207-1865 | 2009-09-30 |
| 1003149758 | Golden Reach Care | Clinic/Center | 1110 Morse Rd Ste 206, Columbus, OH 43229-6325 | 2009-09-14 |
| 1790959765 | Linda Home Care | Clinic/Center | 406 Woodland Ave, Columbus, OH 43203-1272 | 2008-04-21 |
| 1013070374 | Doctors House Call of Columbus, LLC. | Clinic/Center | 595 E Broad St Fl 3, Suite 300, Columbus, OH 43215-3985 | 2006-12-18 |
| 1942274410 | The Ohio State University Student Health Service | Clinic/Center | 1875 Milikin Road, Columbus, OH 43210-2200 | 2006-02-14 |
| 1801497193 | Jacqueline Jordan | Clinic/Center | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-11-04 |
| 1588294201 | Koinonia Global Wellness Inc | Clinic/Center | 5797 Beechcroft Rd Ste F, Columbus, OH 43229-2758 | 2020-01-22 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on WEST GEORGIA NEUROLOGY AND NEURODIAGNOSTICS, 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.