Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Atlanta Neurological Associates LLC

Organization Electrodiagnostic Medicine Physician · NPI 1568120186

Northeast Atlanta Neurological Associates LLC is an Electrodiagnostic Medicine Physician in Ft Worth, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Boland St Ste 211
Ft Worth, TX 76107-1265
Phone: (817) 529-8488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electrodiagnostic Medicine Physician (primary) Taxonomy 204R00000X

Record details

NPI number1568120186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Sullivan — Practice Administrator · (903) 259-0550
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address111 Boland St Ste 211, Ft Worth, TX 76107-1265

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