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

Southern Neurosurgery LLC

Organization Neurological Surgery Physician · NPI 1467390013

Southern Neurosurgery LLC is a Neurological Surgery Physician in Gainesville, Georgia. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
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

601 Broad St SE Ste A
Gainesville, GA 30501-3718
Phone: (470) 293-9800
Fax: (844) 689-4542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Neurological Surgery Physician Taxonomy 207T00000X

Record details

NPI number1467390013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Betsy Grunch — Md/Owner · (470) 293-9800
NPI enumeratedMarch 24, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address601 Broad St Se Ste A, Gainesville, GA 30501-3718

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