SOUTHERN NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION, LLC
NPI 1013544899
Psychiatry & Neurology - Neurology in Valdosta, GA

Q: What is Southern Neurology, Physical Medicine & Rehabilitation, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since March 24, 2020

4913 LANES POND RD, VALDOSTA, GA 31601(229) 292-2074 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Neurology, Physical Medicine & Rehabilitation, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION, LLC (NPI 1013544899) is a healthcare organization registered as a neurology in Valdosta, Georgia and active in the NPI registry since March 2020. The organization lists Tommy Keith Bussey, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1013544899

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameSOUTHERN NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION, LLC

Location Address4913 LANES POND RDValdosta, GA 31601-1537

Mailing Address4913 Lanes Pond RdValdosta, GA 31601-1537 · (229) 292-2074

Phone(229) 292-2074

Organization SubpartNo

Authorized OfficialTommy Keith BusseyPractice Manager · (229) 292-2074

Enumeration DateMarch 24, 2020

NPPES CertifiedMarch 24, 2020

✔ NPI 1013544899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

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.

4913 LANES POND RD, Valdosta, GA 31601

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Other Names 1

Doing Business AsSouthern Neurology, Physical Medicine & Rehabilitation, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Neurology, Physical Medicine & Rehabilitation, LLC's NPI number?

The NPI number for Southern Neurology, Physical Medicine & Rehabilitation, LLC is 1013544899. It was assigned to this organization in the NPPES registry on March 24, 2020.

Where is Southern Neurology, Physical Medicine & Rehabilitation, LLC located?

Southern Neurology, Physical Medicine & Rehabilitation, LLC is located at 4913 Lanes Pond Rd, Valdosta, GA 31601. The listed phone number is (229) 292-2074.

What is Southern Neurology, Physical Medicine & Rehabilitation, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Southern Neurology, Physical Medicine & Rehabilitation, LLC was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.