NEWNAN NEUROLOGY PC
NPI 1104231240
Psychiatry & Neurology - Neurology in Newnan, GA

Active since June 27, 2014
60 OAK HILL BLVD, SUITE 103, NEWNAN, GA 30265(770) 683-8637(770) 683-8633 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Newnan Neurology Pc NPPES

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

NEWNAN NEUROLOGY PC (NPI 1104231240) is a healthcare organization registered as a neurology in Newnan, Georgia and active in the NPI registry since June 2014. The organization lists Qing Ni, Owner, as its authorized official.

NPPES Registry Identity

NPI1104231240
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNEWNAN NEUROLOGY PC
Location Address60 OAK HILL BLVD, SUITE 103Newnan, GA 30265-2314
Mailing Address60 Oak Hill Blvd, Suite 103Newnan, GA 30265-2314 · (770) 683-8637 · Fax (770) 683-8633
Fax(770) 683-8633
Organization SubpartNo
Authorized OfficialQing NiOwner · (770) 683-8637
Enumeration DateJune 27, 2014
Last NPPES UpdateJuly 1, 2014
✔ NPI 1104231240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in GA · 57404
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.
60 OAK HILL BLVD, Newnan, GA 30265

Other Identifiers 3

Medicaid646750194AGA
Medicaid639314016GA
Medicare UPINH69549

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Newnan Neurology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Newnan Neurology PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Neurology
NPI 1295765311
60 OAK HILL BLVD
Newnan, GA 30265
(770) 683-8637
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1548290661
2959 SHARPSBURG MCCULLUM RD
Newnan, GA 30265
(770) 502-2000
✔ PECOS✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Newnan Neurology PC's NPI number?

The NPI number for Newnan Neurology PC is 1104231240. It was assigned to this organization in the NPPES registry on June 27, 2014.

Where is Newnan Neurology PC located?

Newnan Neurology PC is located at 60 Oak Hill Blvd Suite 103, Newnan, GA 30265. The listed phone number is (770) 683-8637.

What is Newnan Neurology PC's specialty?

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

Is Newnan Neurology PC enrolled in Medicare?

Yes. Newnan Neurology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newnan Neurology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Neurology, reassign their Medicare billing to Newnan Neurology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Newnan Neurology PC was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.