1. Home
  2. Directory
  3. Georgia
  4. Snellville
  5. Specialist
  6. NPI Profile

EAST ATLANTA NEUROLOGY AND HEADACHE CLINIC
NPI 1629114095
Specialist in Snellville, GA

Active since January 30, 2007
2138 HIGHWAY 124 N STE C, SNELLVILLE, GA 30078(770) 978-3578(770) 978-6630 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2024, Jan 8, 2018 (2 updates tracked since 2018).

About East Atlanta Neurology And Headache Clinic NPPES

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

EAST ATLANTA NEUROLOGY AND HEADACHE CLINIC (NPI 1629114095) is a healthcare organization registered as a specialist in Snellville, Georgia and active in the NPI registry since January 2007. The organization lists Rosa D Schumann, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1629114095
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEAST ATLANTA NEUROLOGY AND HEADACHE CLINIC
Location Address2138 HIGHWAY 124 N STE CSnellville, GA 30078-6106
Mailing Address2138 Scenic Hwy N Ste CSnellville, GA 30078-6106 · (770) 978-3578 · Fax (770) 978-6630
Phone(770) 978-3578
Fax(770) 978-6630
Organization SubpartNo
Authorized OfficialRosa D SchumannPractice Manager · (770) 978-3578
Enumeration DateJanuary 30, 2007
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1629114095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 032050
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.
2138 HIGHWAY 124 N STE C, Snellville, GA 30078
Open in Google Maps ↗

Other Identifiers 2

OtherCH2781GA · Railroad Medicare
Other032050GA · State 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)

East Atlanta Neurology And Headache Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to East Atlanta Neurology And Headache Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mohamad Shahidsalles, M.D., PH.D.
Neurology
NPI 1952336943
1700 TREE LN SUITE 350
Snellville, GA 30078
(770) 978-3578
✔ PECOS✔ Accepts Medicare1.0 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 East Atlanta Neurology And Headache Clinic's NPI number?

The NPI number for East Atlanta Neurology And Headache Clinic is 1629114095. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is East Atlanta Neurology And Headache Clinic located?

East Atlanta Neurology And Headache Clinic is located at 2138 Highway 124 N Ste C, Snellville, GA 30078. The listed phone number is (770) 978-3578.

What is East Atlanta Neurology And Headache Clinic's specialty?

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

Is East Atlanta Neurology And Headache Clinic enrolled in Medicare?

Yes. East Atlanta Neurology And Headache Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Atlanta Neurology And Headache Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to East Atlanta Neurology And Headache Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for East Atlanta Neurology And Headache Clinic was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.