NPI age
19 years
Enumerated 2006-12-11
● Active Type 2 · Organization
Carroll County Neurology
Carroll County Neurology is 1 of 681 psychiatry & neurology organizations in Georgia.
Primary specialty
Psychiatry & Neurology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Walker
Administrator
Last NPPES update
2009-12-03
Source: monthly bulk 2026-05
How this organization compares
Across 681 active psychiatry & neurology providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
524 Dixie St
Carrollton, GA 301173805
Mailing address
524 Dixie St
Carrollton, GA 301173805
Authorized official
Rebecca Lee Walker
Administrator
📞 7708322775
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mary Domville, P.A. Physician Assistant NPI 1578573820
- Richard Mikilitus, MD Psychiatry & Neurology NPI 1760461305
Specialties
-
Psychiatry & Neurology PrimaryA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 130011906 | R X R MEDICARE |
| 01 | 13BDDKV01 | MEDICARE ID |
| 05 (GA) | 000920796B | |
| 05 (AL) | 009981360 | |
| 01 | 130024279 | R X R MEDICARE |
| 05 (AL) | 009602420 | |
| 01 | 13BDDKV | MEDICARE |
| 01 | 52212528 | BCBS |
| 01 | 864345 | BCBS |
| 05 (GA) | 000670909E | |
| 01 | 13BDCK01 | MEDICARE ID |
| 01 | 13BDCKS | MEDICARE ID |
| 01 | 506390 | BSBC |
| 05 (GA) | 586993320E | |
| 05 (GA) | 000920796A | |
| 01 | 5632868 | CIGNA |
| 05 (GA) | 000920796C | |
| 01 | 13BDFFB01 | MEDICARE ID |
| 01 | 6941783 | CIGNA |
| 01 | 7357225 | AETNA |
| 05 (GA) | 000670909A | |
| 05 (GA) | 000670909F | |
| 01 | 13BDFFB | MEDICARE ID |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
West Georgia Sleep Disorders and Neurology Associates
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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