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

Vital Neurology LLC

Organization Neurology Physician · NPI 1629951397

Vital Neurology LLC is a Neurology Physician in Cumming, Georgia. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
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

1165 Sanders Rd
Cumming, GA 30041-5965
Phone: (802) 735-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1968 Peachtree Rd Nw Fl 6, Atlanta, GA 30309-1281 — (802) 735-0001

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1629951397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kishore Rasamallu — Md/Owner · (210) 379-8553
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address410 Peachtree Pkwy Ste 4245, Cumming, GA 30041-7407

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