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

Northeast Georgia Neurology, LLC

Organization Electrodiagnostic Medicine Physician · NPI 1063902807

Northeast Georgia Neurology, LLC is an Electrodiagnostic Medicine Physician in Atlanta, Georgia. Registered with an NPI since 2018.

In the registry since
2018
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

925B Peachtree St NE Ste 835
Atlanta, GA 30309-3918
Phone: (404) 900-9540
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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 number1063902807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doreen Shinn — Vp · (214) 455-3161
NPI enumeratedMay 17, 2018
Last updated in NPPESMay 17, 2018
Mailing address925b Peachtree St Ne Ste 835, Atlanta, GA 30309-3918

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