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COMMUNITY NEUROLOGICAL CLINIC
NPI 1164614608
Specialist in Duluth, GA

Active since August 17, 2007
3400 MCCLURE BRIDGE RD, SUITE D401, DULUTH, GA 30096(770) 622-2230(770) 622-9741 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Neurological Clinic NPPES

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

COMMUNITY NEUROLOGICAL CLINIC (NPI 1164614608) is a healthcare organization registered as a specialist in Duluth, Georgia and active in the NPI registry since August 2007. The organization lists Philip R Kennedy, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1164614608
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOMMUNITY NEUROLOGICAL CLINIC
Location Address3400 MCCLURE BRIDGE RD, SUITE D401Duluth, GA 30096-6675
Mailing Address3400 Mcclure Bridge Rd, Suite D401Duluth, GA 30096-6675 · (770) 622-2230 · Fax (770) 622-9741
Phone(770) 622-2230
Fax(770) 622-9741
Organization SubpartNo
Authorized OfficialPhilip R KennedyOwner/physician · (770) 622-2230
Enumeration DateAugust 17, 2007
Last NPPES UpdateJanuary 23, 2009
✔ NPI 1164614608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · GA039708
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3400 MCCLURE BRIDGE RD, Duluth, GA 30096
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Other Identifiers 2

Medicaid000772813AGA
Medicare PINGRP4308GA

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

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALPHA RECOVERY GROUP INC
Clinic/Center (Methadone)
3400 MCCLURE BRIDGE RD, BUILDING C, SUIT A&B
DULUTH, GA 30096
Gwinnett County (770) 896-6730
MBS CONNECTION LLC
Clinic/Center (Health Service)
3400 MCCLURE BRIDGE RD, BLDG F, STE A
DULUTH, GA 30096
Gwinnett County (678) 371-6463
DR. RAMANI GOWDUCHERUVU DDS
Dentist (Oral and Maxillofacial Surgery)
3400 MCCLURE BRIDGE RD, BLDG G, SUITES B AND C
DULUTH, GA 30096
Gwinnett County (770) 476-8576
SURGICAL ASSISTANTS OF AMERICA, INC.
Surgery
3400 MCCLURE BRIDGE RD, BUILDING B201
DULUTH, GA 30096
Gwinnett County (678) 957-8801
NORTH GEORGIA ORAL AND FACIAL SURGERY LLC
Dentist (Oral and Maxillofacial Surgery)
3400 MCCLURE BRIDGE RD, BLDG G, SUITES B AND C
DULUTH, GA 30096
Gwinnett County (770) 476-8576
SURGICAL
Physician Assistant (Surgical)
3400 MCCLURE BRIDGE RD, BUILDING B
DULUTH, GA 30096
Gwinnett County (678) 957-8801
ELLIOTT BUTLER PA-C
Physician Assistant (Surgical)
3400 MCCLURE BRIDGE RD, B201
DULUTH, GA 30096
Gwinnett County (678) 957-8801
ALLYS SERNIOR SERVICES, INC.
Health Maintenance Organization
3400 MCCLURE BRIDGE RD, BUILDING C-301
DULUTH, GA 30096
Gwinnett County (404) 839-3631

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 Community Neurological Clinic's NPI number?

The NPI number for Community Neurological Clinic is 1164614608. It was assigned to this organization in the NPPES registry on August 17, 2007.

Where is Community Neurological Clinic located?

Community Neurological Clinic is located at 3400 Mcclure Bridge Rd Suite D401, Duluth, GA 30096. The listed phone number is (770) 622-2230.

What is Community Neurological Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Community Neurological Clinic was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.