ADVANCED NEUROLOGY CENTER
NPI 1790118131
Psychiatry & Neurology - Neurology in Douglasville, GA

NPI Status: Active since August 20, 2013

Contact Information

4904 TIMBER RIDGE DR
SUITE 305
DOUGLASVILLE, GA
ZIP 30135
Phone: (678) 501-5420
Fax: (678) 501-5429

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  • Organization
  • Psychiatry & Neurology
  • Neurology
  • Accepts Insurance

About ADVANCED NEUROLOGY CENTER

This page provides the complete NPI Profile along with additional information for Advanced Neurology Center, a provider established in Douglasville, Georgia operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1790118131 assigned on August 2013. The practitioner's primary taxonomy code is 2084N0400X with license number 052786 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Advanced Neurology Center. The authorized official of this NPI record is Dr. Jeremy Meisel M.d. (Owner)

NPI
1790118131
Provider Legal Name
JEREMY MEISEL MD LLC
Other Organization Name
ADVANCED NEUROLOGY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4904 TIMBER RIDGE DR SUITE 305 DOUGLASVILLE, GA 30135
Location Phone
(678) 501-5420
Location Fax
(678) 501-5429
Mailing Address
1579 MONROE DR NE STE F SUITE F602 ATLANTA, GA 30324
Mailing Phone
(678) 501-5420
Mailing Fax
(678) 501-5429
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2013
Last Update Date
11-17-2014
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
052786
License State
GA
Taxonomy Description
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. JEREMY MEISEL M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(678) 501-5420

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
202I132203MEDICARE UPIN (02)GA 
612935883DMEDICAID (05)GA 

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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.
1790118131
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180211616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 2 + 1 + 1 + 6 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1790118131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144293598DR. WILLIAM A GRIFFITH MD
Individual
Surgery4904 TIMBER RIDGE DR SUITE 104
DOUGLASVILLE, GA 30135
(770) 949-4000
1831150598 KAMLESH DHIRUBHAI NAYAK MD
Individual
Internal Medicine (Cardiovascular Disease)4904 TIMBER RIDGE DR SUITE 102
DOUGLASVILLE, GA 30135
(770) 489-8165
1497815385KAMLESH D. NAYAK, MD, PC
Organization
Internal Medicine (Cardiovascular Disease)4904 TIMBER RIDGE DR STE 102
DOUGLASVILLE, GA 30135
(770) 489-8165
1043364862 NAVINCHANDRA M RUPARELIA MD
Individual
Internal Medicine (Gastroenterology)4904 TIMBER RIDGE DR SUITE 202A
DOUGLASVILLE, GA 30135
(770) 949-6548
1033355359ATLANTA WEST ENDOSCOPY CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)4904 TIMBER RIDGE DR SUITE 202B
DOUGLASVILLE, GA 30135
(770) 949-6548
1639311335 KAREN REESE CASTLE FNP
Individual
Nurse Practitioner (Family)4904 TIMBER RIDGE DR SUITE 104
DOUGLASVILLE, GA 30135
(770) 942-4822
1548573884KUKASWADIA P.C.
Organization
Psychiatry & Neurology (Neurology)4904 TIMBER RIDGE DR SUITE 305
DOUGLASVILLE, GA 30135
(678) 501-5420
1629374418ATLANTA WEST WOMEN'S CENTER
Organization
Clinic/Center (Medical Specialty)4904 TIMBER RIDGE DR SUITE 303
DOUGLASVILLE, GA 30135
(770) 920-9745
1164715132WELLSTAR MEDICAL GROUP, LLC
Organization
Surgery4904 TIMBER RIDGE DR SUITE 104
DOUGLASVILLE, GA 30135
(770) 942-4822
1295893873DR. GANESH PRANSHANKAR PANDYA MD
Individual
Surgery4904 TIMBER RIDGE DR SUITE 104
DOUGLASVILLE, GA 30135
(770) 942-4822
1184673238DR. AMR A AGHA M.D.
Individual
Specialist4904 TIMBER RIDGE DR SUITE101
DOUGLASVILLE, GA 30135
(770) 739-7546
1861465866DR. GRANT TAYLOR MD
Individual
Surgery4904 TIMBER RIDGE DR SUITE 104
DOUGLASVILLE, GA 30135
(770) 942-4822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790118131, enumerated in the NPI registry as an "organization" on August 20, 2013

The provider is located at 4904 Timber Ridge Dr Suite 305 Douglasville, Ga 30135 and the phone number is (678) 501-5420

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 20, 2013. 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].
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