NPI age
16 years
Enumerated 2010-02-22
● Active Type 2 · Organization
Neurowave Diagnostics, Llc
Neurowave Diagnostics, Llc is 1 of 135 specialist/technologist, other organizations in Georgia.
Primary specialty
Specialist/Technologist, Other
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Ceo
Last NPPES update
2010-02-22
Source: monthly bulk 2026-05
How this organization compares
Across 135 active specialist/technologist, other providers in Georgia.
NPI age
16 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-02Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
2227 Idlewood Rd, Suite 400
Tucker, GA 300844827
Mailing address
Po Box 930905
Norcross, GA 300030905
Authorized official
Fannie Clark
Ceo
📞 7705570885
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Donovan Christie, M.D. Internal Medicine NPI 1831157072
- Jacqueline Christie, APRN Nurse Practitioner NPI 1295863256
- Ethel London, LPC Counselor NPI 1295196186
Specialties
-
Specialist/Technologist, Other PrimaryDefinition to come...
Practice context
Multi-provider organization. 3 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.