| Newbrain Llc | |
|
1100 Northside Forsyth Dr Ste 440 Cumming GA 30041-6015 | |
| (770) 203-4881 | |
| (470) 839-2435 |
| Full Name | Newbrain Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1100 Northside Forsyth Dr Ste 440, Cumming, Georgia |
| Authorized Official Name and Position | Peter Futrell (CEO) |
| Authorized Official Contact | 7702034881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newbrain Llc 1100 Northside Forsyth Dr Ste 440 Cumming GA 30041-6015 Ph: (770) 203-4881 | Newbrain Llc 1100 Northside Forsyth Dr Ste 440 Cumming GA 30041-6015 Ph: (770) 203-4881 |
| NPI Number | 1235817677 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 2668832197 |
|---|---|
| Medicare Enrollment ID | O20230717000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235817677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Peter R Futrell |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1912990391 PECOS PAC ID: 8921287707 Enrollment ID: I20110126000008 |
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