CHILDREN'S NEUROLOGY CTR MACON, LLC (NPI# 1932485125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932485125 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S NEUROLOGY CTR MACON, LLC |
| Practice Address |
840 Pine St Ste 970 Macon GA 31201-2100 |
| Mailing Address |
840 Pine St Suite 970 Macon GA 31201-2100 |
| Practice Telephone | 4787508880 |
| Practice Fax Number | 4787508860 |
| Mailing Telephone | 4787508880 |
| Mailing Fax Number | 4787508860 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | DR. JOSEPH TRASMONTE (PROPRIETOR) |
| Authorized Official Telephone | 4787508880 |
| 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 |
44127 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 706246275A | 05 | |
| GA | 000755917E | 05 | |
| GA | 706246275B | 05 |
| Street Address |
840 PINE ST STE 970 |
| City | MACON |
| State | GA |
| Zip Code | 31201-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191582 | Alan N Gordon | Obstetrics & Gynecology | 840 Pine St, Ste 760, Macon, GA 31201-2100 | 2005-08-19 |
| 1164973327 | Patricia Tarver | Nurse Practitioner | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-10-21 |
| 1801243894 | Konstantinos Fountas | Neurological Surgery | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-05-19 |
| 1487000501 | Jessica Knight | Nurse Practitioner | 840 Pine St, Ste 900, Macon, GA 31201-2100 | 2016-05-07 |
| 1932567716 | Kaci Robinson | Nurse Practitioner | 840 Pine St, Ste 510, Macon, GA 31201-2100 | 2016-02-08 |
| 1245648245 | Stephanie Tolliver-epps | Nurse Practitioner | 840 Pine St, Macon, GA 31201-2100 | 2014-07-23 |
| 1518389170 | Jonathan Haynes | Physician Assistant | 840 Pine St, Ste 500, Macon, GA 31201-2100 | 2014-01-15 |
| 1164862710 | Alison M Robbins | Nurse Practitioner | 840 Pine St, Ste 780, Macon, GA 31201-2100 | 2013-06-27 |
| 1336582626 | Charles D Gomez | Student in an Organized Health Care Education/Training Program | 840 Pine St, Macon, GA 31201-2100 | 2013-04-17 |
| 1710290606 | Georgia Neurosurgical Institute Outpatient Surgery Center | Clinic/Center | 840 Pine St, Suite 810, Macon, GA 31201-2100 | 2010-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| 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 |
|---|---|---|---|---|
| 1194708487 | Joseph Martin Trasmonte | Psychiatry & Neurology | 840 Pine St, Suite 970, Macon, GA 31201-2100 | 2005-11-21 |
| 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 |
| 1386819381 | Kohilavani Velayudam | Psychiatry & Neurology | 761 Walther Road, Suite 100, Lawrenceville, GA 30046 | 2008-04-30 |
| 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 |
| 1093884355 | Aijaz A Khalid | Psychiatry & Neurology | 170 Camden Hill Rd Ste A, Lawrenceville, GA 30045-7418 | 2006-11-08 |
| 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 |
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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.