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SOUTHLAKE NEUROLOGY AND
NPI 1437362480
Psychiatry & Neurology - Neurology in Southlake, TX

Active since May 07, 2007
175 STONEBRIDGE LN STE 100, SOUTHLAKE, TX 76092(817) 421-2905(817) 431-6459 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2020, Aug 19, 2020 (2 updates tracked since 2020).

About Southlake Neurology And NPPES

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

SOUTHLAKE NEUROLOGY AND (NPI 1437362480) is a healthcare organization registered as a neurology in Southlake, Texas and active in the NPI registry since May 2007. The organization lists Asher S. Imam, President, as its authorized official.

NPPES Registry Identity

NPI1437362480
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSOUTHLAKE NEUROLOGY AND
Location Address175 STONEBRIDGE LN STE 100Southlake, TX 76092-0307
Mailing Address175 Stonebridge Ln Ste 100Southlake, TX 76092-0307 · (817) 421-2905 · Fax (817) 431-6459
Phone(817) 421-2905
Fax(817) 431-6459
Organization SubpartNo
Authorized OfficialAsher S. ImamPresident · (817) 421-2905
Enumeration DateMay 7, 2007
Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
✔ NPI 1437362480 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.
175 STONEBRIDGE LN STE 100, Southlake, TX 76092
Open in Google Maps ↗

Other Identifiers 2

Other10582985Caqh Id
OtherK9573TX · Texas License

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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southlake Neurology And, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Denise Butler, FNP-C
Nurse Practitioner
NPI 1225500168
175 STONEBRIDGE LN STE 100
Southlake, TX 76092
(817) 421-2905
✔ PECOSSame address
Lindsey Cunningham, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1538513973
175 STONEBRIDGE LN STE 100
Southlake, TX 76092
(817) 421-2905
✔ PECOSSame address
Asher Imam, D.O.
Neurology
NPI 1376602144
175 STONEBRIDGE LN STE 100
Southlake, TX 76092
(817) 421-2905
✔ PECOS✔ Accepts MedicareSame address

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 Southlake Neurology And's NPI number?

The NPI number for Southlake Neurology And is 1437362480. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Southlake Neurology And located?

Southlake Neurology And is located at 175 Stonebridge Ln Ste 100, Southlake, TX 76092. The listed phone number is (817) 421-2905.

What is Southlake Neurology And's specialty?

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

Is Southlake Neurology And enrolled in Medicare?

Yes. Southlake Neurology And is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southlake Neurology And?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southlake Neurology And, in Neurology and Nurse Practitioner. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southlake Neurology And was last updated on September 28, 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.