LEGACY BRAIN & SPINE LLC
NPI 1245070879
Neurological Surgery in Tucker, GA

NPI Status: Active since May 30, 2024

Contact Information

1918 NORTHLAKE PKWY STE 101
TUCKER, GA
ZIP 30084
Phone: (770) 291-8987

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  • Organization
  • Neurological Surgery

About LEGACY BRAIN & SPINE LLC

This page provides the complete NPI Profile along with additional information for Legacy Brain & Spine Llc, a provider established in Tucker, Georgia operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1245070879 assigned on May 2024. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Said Elshihabi Md (Owner)

NPI
1245070879
Provider Name
LEGACY BRAIN & SPINE LLC
Entity Type
Organization
Location Address
1918 NORTHLAKE PKWY STE 101 TUCKER, GA 30084
Location Phone
(770) 291-8987
Mailing Address
1900 THE EXCHANGE SE STE 200 ATLANTA, GA 30339
Mailing Phone
(770) 291-8987
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2024
Last Update Date
05-30-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAID ELSHIHABI MD

Authorized Official Title
OWNER
Authorized Official Phone
(770) 291-8987

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245070879
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285070814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 0 + 7 + 0 + 8 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1245070879 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245070879, enumerated in the NPI registry as an "organization" on May 30, 2024

The provider is located at 1918 Northlake Pkwy Ste 101 Tucker, Ga 30084 and the phone number is (770) 291-8987

This medical organization specializes in Neurological Surgery with taxonomy code 207T00000X

This NPI record was last updated on May 30, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.