| The Concussion Center | |
|
2200 Century Pkwy Ne Ste 260 Atlanta GA 30345-3103 | |
| (404) 946-9327 | |
| Not Available |
| Full Name | The Concussion Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2200 Century Pkwy Ne Ste 260, Atlanta, Georgia |
| Authorized Official Name and Position | Brent Jones (CEO) |
| Authorized Official Contact | 4043164136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Concussion Center 2200 Century Pkwy Ne Ste 260 Atlanta GA 30345-3103 Ph: (404) 946-9327 | The Concussion Center 2200 Century Pkwy Ne Ste 260 Atlanta GA 30345-3103 Ph: (404) 946-9327 |
| NPI Number | 1194309732 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Medicare PECOS PAC ID | 5890188494 |
|---|---|
| Medicare Enrollment ID | O20220203000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194309732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert G Bashuk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316940547 PECOS PAC ID: 3779534748 Enrollment ID: I20050208000022 |
| Provider Name | Jiovanne N Hughart |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205837705 PECOS PAC ID: 5991799462 Enrollment ID: I20050520000586 |
| Provider Name | Robert S Allen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528448933 PECOS PAC ID: 6709191885 Enrollment ID: I20150819006400 |
Intentional Hearts, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Northside Pkwy Nw, Bldg 1, Ste 200, Atlanta, GA 30327 Phone: 770-623-3331 | |
Nancy Gup And Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2885 Payton Rd Ne, Atlanta, GA 30345 Phone: 404-634-0014 Fax: 404-728-0043 | |
Atlanta Internal Medicine And Psychiatric Care Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3915 Cascade Rd Sw Ste 360, Atlanta, GA 30331 Phone: 678-973-2370 Fax: 470-819-4995 | |
Advanced Neuropsychiatric Health Professionals Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 Peachford Rd Ste 1, Atlanta, GA 30338 Phone: 404-918-8118 | |
Stratford Medical Group, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3379 Peachtree Rd Ne, Suite 555, Atlanta, GA 30326 Phone: 404-974-9575 | |
Flourishing Minds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2751 Buford Hwy Ne, 700, Atlanta, GA 30324 Phone: 678-322-7935 Fax: 678-922-2149 | |
Chris 180, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Martin Luther King Dr Sw, Atlanta, GA 30331 Phone: 404-486-9034 Fax: 404-835-9350 |