1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Clinic Center
  6. NPI Profile

SUMNER NEUROLOGY ASSOCIATES, PLLC
NPI 1801926381
Clinic/Center - Multi-Specialty in Marietta, GA

Active since March 06, 2007CLIA 11D2180882 · Waiver
1000 JOHNSON FERRY RD BLDG F, STE.120, MARIETTA, GA 30068(678) 402-1053(678) 402-5619 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sumner Neurology Associates, Pllc NPPES

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

SUMNER NEUROLOGY ASSOCIATES, PLLC (NPI 1801926381) is a healthcare organization registered as a multi-specialty in Marietta, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Jawaid Ahsan, Owner, as its authorized official.

NPPES Registry Identity

NPI1801926381
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSUMNER NEUROLOGY ASSOCIATES, PLLC
Location Address1000 JOHNSON FERRY RD BLDG F, STE.120Marietta, GA 30068-2114
Mailing AddressPo Box 680010Marietta, GA 30068-0001 · (678) 402-1053 · Fax (678) 402-5619
Phone(678) 402-1053
Fax(678) 402-5619
Organization SubpartNo
Authorized OfficialJawaid AhsanOwner · (678) 402-1053
Enumeration DateMarch 6, 2007
Last NPPES UpdateNovember 1, 2012
✔ NPI 1801926381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in TN · 16896
1000 JOHNSON FERRY RD BLDG F, Marietta, GA 30068
Open in Google Maps ↗

Other Identifiers 6

MedicaidFA1875624GA
Medicare UPINH93365
Medicaid871643718ATN
Medicare PIN38882344TN
Medicaid871643718AGA
Medicare PIN38882344GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sumner Neurology Associates, Pllc 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 Sumner Neurology Associates, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jawaid Ahsan, MD
Neurology
NPI 1578618815
304 TURNER MCCALL BLVD SW
Rome, GA 30165
(706) 509-5000
✔ PECOS✔ Accepts Medicare47 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2180882

Sumner Neurology Associates, PLLC · Marietta, GA
Active · expires Mar 22, 2028
CLIA Number11D2180882
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorJawaid Ahsan
Laboratory Phone(678) 402-1053
Laboratory LocationSumner Neurology Associates, PLLC1000 Johnson Ferry Road, Building E, #220, Marietta, GA 30068
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sumner Neurology Associates, PLLC's NPI number?

The NPI number for Sumner Neurology Associates, PLLC is 1801926381. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Sumner Neurology Associates, PLLC located?

Sumner Neurology Associates, PLLC is located at 1000 Johnson Ferry Rd Bldg F Ste.120, Marietta, GA 30068. The listed phone number is (678) 402-1053.

What is Sumner Neurology Associates, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Sumner Neurology Associates, PLLC enrolled in Medicare?

Yes. Sumner Neurology Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sumner Neurology Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Sumner Neurology Associates, PLLC. 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.

Does Sumner Neurology Associates, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2180882) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sumner Neurology Associates, PLLC was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.