Provider Demographics
NPI:1891035606
Name:NEUROLOGY CONSULTS, P.C.
Entity Type:Organization
Organization Name:NEUROLOGY CONSULTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:PAWEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZYGLEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-223-5564
Mailing Address - Street 1:300 STONECREST BLVD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-5688
Mailing Address - Country:US
Mailing Address - Phone:615-223-5564
Mailing Address - Fax:615-223-5860
Practice Address - Street 1:300 STONECREST BLVD
Practice Address - Street 2:SUITE 260
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5688
Practice Address - Country:US
Practice Address - Phone:615-223-5564
Practice Address - Fax:615-223-5860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN381962084N0400X, 2084N0600X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3892424Medicaid
TN3892424Medicare PIN
TN3892424Medicaid